Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.12 / $33.11	Professional		$14.13	$25.12	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $194.98	Professional		$48.98	$57.54	$194.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $38.02 / $41.69	Facility		$15.49	$38.02	$41.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.39 / $89.13	Professional		$14.45	$22.39	$89.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $194.98	Professional		$48.98	$64.57	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $14.45 / $74.13	Facility		$2.82	$14.45	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $17.38 / $33.88	Professional		$2.69	$17.38	$33.88