Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $134.90	Professional		$109.65	$109.65	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $223.87	Professional		$109.65	$109.65	$223.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,778.28 / $4,786.30	Facility		$338.84	$1,778.28	$4,786.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $2,187.76	Professional		$109.65	$138.04	$2,187.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $208.93	Professional		$109.65	$109.65	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,659.59	Facility		$338.84	$338.84	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $1,659.59	Professional		$125.89	$204.17	$1,659.59