Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,380.38	Professional		$1,288.25	$1,348.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,380.38 / $1,380.38	Professional		$162.18	$1,380.38	$1,380.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $134.90 / $346.74	Facility		$117.49	$134.90	$346.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $1,380.38	Professional		$117.49	$181.97	$1,380.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,380.38 / $1,380.38	Professional		$154.88	$1,380.38	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,041.74	Facility		$1,621.81	$1,621.81	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,348.96 / $1,348.96	Professional		$125.89	$1,348.96	$1,348.96