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 $56.23 / $91.20 / $407.38	Professional		$56.23	$91.20	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $199.53	Professional		$107.15	$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 $81.28 / $109.65 / $177.83	Professional		$81.28	$109.65	$177.83