Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,897.79 / $4,897.79	Facility		$1,862.09	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,041.74	Professional		$1,862.09	$1,862.09	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $3,801.89 / $6,025.60	Professional		$436.52	$3,801.89	$6,025.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,897.79 / $6,918.31	Facility		$1,862.09	$4,897.79	$6,918.31
Health Alliance Plan 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
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $3,801.89	Professional		$389.05	$436.52	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,890.45 / $6,025.60	Facility		$691.83	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $8,128.31	Professional		$3,162.28	$3,162.28	$8,128.31