Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $3,073.00 / $7,123.00	Facility		$813.00	$3,073.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.77 / $1,051.09 / $1,395.28	Professional		$656.77	$1,051.09	$1,395.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.25 / $872.81 / $1,415.58	Professional		$698.25	$872.81	$1,415.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.09 / $994.82 / $1,695.48	Professional		$676.09	$994.82	$1,695.48
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 $760.75 / $799.02 / $881.65	Professional		$760.75	$799.02	$881.65
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 $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.92 / $1,035.28 / $1,842.36	Professional		$644.92	$1,035.28	$1,842.36