Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $660.69	Professional		$549.54	$549.54	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,202.26	Professional		$549.54	$549.54	$1,202.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $4,786.30	Facility		$1,659.59	$1,778.28	$4,786.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $575.44 / $2,137.96	Professional		$138.04	$575.44	$2,137.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,122.02	Professional		$549.54	$549.54	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $4,570.88	Facility		$2,691.53	$2,691.53	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,691.53 / $2,818.38	Professional		$125.89	$2,691.53	$2,818.38