Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $169.82	Professional		$100.00	$128.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $302.00	Professional		$147.91	$147.91	$302.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $131.83 / $346.74	Facility		$117.49	$131.83	$346.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $169.82	Professional		$107.15	$131.83	$169.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $302.00	Professional		$147.91	$147.91	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $288.40	Facility		$173.78	$173.78	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78