Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $85.11	Professional		$61.66	$63.10	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $81.28	Professional		$63.10	$63.10	$81.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $93.33 / $169.82	Facility		$63.10	$93.33	$169.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $138.04	Professional		$61.66	$64.57	$138.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $67.61	Professional		$63.10	$63.10	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $104.71	Facility		$93.33	$93.33	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $125.89	Professional		$63.10	$83.18	$125.89