Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $1,544.00 / $5,389.00	Facility		$735.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $801.25 / $1,296.07	Professional		$224.97	$801.25	$1,296.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.74 / $1,510.74 / $1,628.59	Professional		$1,510.74	$1,510.74	$1,628.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.39 / $1,666.80 / $3,039.54	Professional		$1,115.39	$1,666.80	$3,039.54