Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $70.79	Professional		$19.95	$19.95	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $181.97	Professional		$104.71	$104.71	$181.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $70.79	Professional		$19.95	$19.95	$70.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $229.09 / $234.42	Professional		$22.91	$229.09	$234.42