Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $149.22 / $465.60	Facility		$149.22	$149.22	$465.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $149.22 / $149.22	Professional		$149.22	$149.22	$149.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $158.56 / $158.56	Professional		$54.70	$158.56	$158.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $186.12 / $415.23	Facility		$149.22	$186.12	$415.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $160.91 / $193.10	Professional		$149.22	$160.91	$193.10
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $164.92	Professional		$155.44	$155.44	$164.92