Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $138.04	Facility		$100.00	$104.71	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $169.82	Professional		$32.36	$79.43	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $117.49	Professional		$38.02	$60.26	$117.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $190.55	Facility		$100.00	$104.71	$190.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $104.71 / $181.97	Professional		$41.69	$104.71	$181.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $79.43	Professional		$38.02	$51.29	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69