Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,023.29	Professional		$954.99	$1,000.00	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,023.29 / $1,023.29	Professional		$162.18	$1,023.29	$1,023.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $117.49 / $346.74	Facility		$107.15	$117.49	$346.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $1,023.29	Professional		$117.49	$158.49	$1,023.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,023.29 / $1,023.29	Professional		$154.88	$1,023.29	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,288.25	Facility		$794.33	$794.33	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $794.33 / $794.33	Professional		$125.89	$794.33	$794.33