Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,897.79 / $4,897.79	Facility		$831.76	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $2,238.72	Professional		$831.76	$831.76	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,584.89	Professional		$1,380.38	$1,380.38	$1,584.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,801.89 / $4,897.79	Facility		$1,380.38	$3,801.89	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,819.70	Professional		$831.76	$1,288.25	$1,819.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09