Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $354.81 / $380.19	Professional		$114.82	$354.81	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $436.52	Professional		$407.38	$407.38	$436.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $380.19 / $954.99	Facility		$354.81	$380.19	$954.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $354.81 / $467.74	Professional		$114.82	$354.81	$467.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $416.87	Professional		$407.38	$407.38	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $478.63 / $478.63	Professional		$125.89	$478.63	$478.63