Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,344.23 / $7,762.47	Facility		$741.31	$2,344.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $173.78	Professional		$57.54	$89.13	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $199.53	Professional		$104.71	$109.65	$199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $204.17	Professional		$100.00	$134.90	$204.17
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 $117.49 / $117.49 / $128.82	Professional		$117.49	$117.49	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $147.91	Professional		$134.90	$134.90	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $177.83	Professional		$79.43	$109.65	$177.83