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 $524.81 / $870.96 / $13,489.63	Professional		$524.81	$870.96	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,479.11	Professional		$676.08	$676.08	$1,479.11
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $870.96 / $1,548.82	Professional		$323.59	$870.96	$1,548.82