Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $87.10	Professional		$70.79	$70.79	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Professional		$70.79	$70.79	$93.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $338.84 / $933.25	Facility		$316.23	$338.84	$933.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $398.11	Professional		$70.79	$123.03	$398.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Professional		$70.79	$70.79	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $302.00	Facility		$120.23	$120.23	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $251.19	Professional		$74.13	$125.89	$251.19