Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $85.11	Professional		$77.62	$77.62	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $104.71	Professional		$77.62	$77.62	$104.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $83.18 / $229.09	Facility		$77.62	$83.18	$229.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $138.04	Professional		$77.62	$79.43	$138.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Professional		$77.62	$77.62	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $138.04	Facility		$83.18	$83.18	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $125.89	Professional		$77.62	$83.18	$125.89