Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $389.05	Professional		$147.91	$251.19	$389.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $95.50 / $245.47	Facility		$93.33	$95.50	$245.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $131.83	Professional		$93.33	$107.15	$131.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $354.81	Professional		$147.91	$251.19	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $100.00	Facility		$77.62	$81.28	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $125.89	Professional		$79.43	$95.50	$125.89