Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $309.03	Facility		$97.72	$134.90	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $302.00	Professional		$81.28	$123.03	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $457.09	Professional		$93.33	$173.78	$457.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $309.03	Facility		$97.72	$128.82	$309.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $218.78	Professional		$43.65	$77.62	$218.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $457.09	Professional		$85.11	$138.04	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $245.47	Facility		$69.18	$81.28	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $117.49	Professional		$63.10	$63.10	$117.49