Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,344.23 / $7,762.47	Facility		$741.31	$2,344.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $537.03 / $741.31	Professional		$223.87	$537.03	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $851.14	Professional		$776.25	$776.25	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
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 $1,513.56 / $1,513.56 / $2,511.89	Professional		$1,513.56	$1,513.56	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,019.95 / $7,413.10	Facility		$616.60	$3,019.95	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $1,258.93	Professional		$446.68	$776.25	$1,258.93