Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,630.00 / $9,691.00	Facility		$1,159.00	$3,630.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.38 / $1,415.01 / $1,921.59	Professional		$1,149.38	$1,415.01	$1,921.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,324.28 / $4,324.28 / $4,324.28	Professional		$4,324.28	$4,324.28	$4,324.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $1,197.00	Professional		$100.00	$200.00	$1,197.00
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 $3,791.00 / $16,498.00 / $44,061.00	Facility		$3,791.00	$16,498.00	$44,061.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.39 / $2,249.51 / $4,296.96	Professional		$1,730.39	$2,249.51	$4,296.96