Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $891.25 / $1,548.82	Facility		$524.81	$891.25	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $562.34	Professional		$338.84	$416.87	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $954.99 / $2,344.23	Facility		$331.13	$954.99	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $776.25	Professional		$588.84	$616.60	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $912.01	Professional		$346.74	$660.69	$912.01
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 $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
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 $257.04 / $512.86 / $1,023.29	Facility		$257.04	$512.86	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $512.86	Professional		$213.80	$309.03	$512.86