Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $724.44	Professional		$660.69	$660.69	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,122.02	Professional		$660.69	$660.69	$1,122.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,778.28 / $4,786.30	Facility		$213.80	$1,778.28	$4,786.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $676.08 / $2,187.76	Professional		$138.04	$676.08	$2,187.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,047.13	Professional		$660.69	$660.69	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,023.29 / $1,659.59	Professional		$125.89	$1,023.29	$1,659.59