Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $58.88	Professional		$54.95	$57.54	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $72.44 / $199.53	Facility		$56.23	$72.44	$199.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $97.72	Professional		$54.95	$72.44	$97.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $114.82	Facility		$69.18	$69.18	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18