Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $3,073.00 / $5,549.00	Facility		$61.49	$3,073.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $92.57 / $120.00	Professional		$59.61	$92.57	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $119.33 / $220.16	Professional		$119.33	$119.33	$220.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $192.30 / $345.40	Professional		$111.17	$192.30	$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 $88.60 / $130.30 / $226.77	Professional		$88.60	$130.30	$226.77