Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.88 / $1,544.00 / $5,389.00	Facility		$508.88	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $520.92 / $918.08	Professional		$294.39	$520.92	$918.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.88 / $670.88 / $1,517.43	Professional		$670.88	$670.88	$1,517.43
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 $393.88 / $566.20 / $950.24	Professional		$393.88	$566.20	$950.24