Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.55 / $1,544.00 / $5,389.00	Facility		$547.55	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.75 / $823.71 / $1,142.95	Professional		$529.75	$823.71	$1,142.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.14 / $682.14 / $1,486.61	Professional		$682.14	$682.14	$1,486.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$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 $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.36 / $897.62 / $1,503.72	Professional		$371.36	$897.62	$1,503.72