Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.98 / $1,022.40 / $1,404.25	Facility		$523.98	$1,022.40	$1,404.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.11 / $336.11 / $434.52	Professional		$336.11	$336.11	$434.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $704.10 / $1,860.49 / $2,352.73	Facility		$704.10	$1,860.49	$2,352.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.32 / $623.22 / $779.03	Professional		$562.32	$623.22	$779.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $690.12 / $915.07	Professional		$345.40	$690.12	$915.07
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $664.56 / $664.56 / $664.56	Professional		$664.56	$664.56	$664.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $639.00	Professional		$30.00	$30.00	$639.00
United Facility/Professional Facility Modifier Low / Median / High Price $613.44 / $613.44 / $613.44	Facility		$613.44	$613.44	$613.44
United Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $306.72 / $511.20	Professional		$214.70	$306.72	$511.20