Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,174.90	Facility		$398.11	$645.65	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $446.68	Professional		$257.04	$331.13	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $724.44 / $1,778.28	Facility		$251.19	$724.44	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $588.84	Professional		$446.68	$478.63	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $691.83	Professional		$309.03	$512.86	$691.83
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $467.74 / $776.25	Facility		$234.42	$467.74	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $389.05	Professional		$165.96	$234.42	$389.05