Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $141.25	Professional		$112.20	$112.20	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $199.53	Professional		$112.20	$112.20	$199.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $3,019.95	Facility		$1,023.29	$1,096.48	$3,019.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $1,318.26	Professional		$112.20	$141.25	$1,318.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $190.55	Professional		$112.20	$112.20	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $1,096.48	Facility		$295.12	$295.12	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $812.83	Professional		$125.89	$177.83	$812.83