Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.69 / $3,073.00 / $7,123.00	Facility		$813.69	$3,073.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.69 / $1,301.80 / $1,395.28	Professional		$813.69	$1,301.80	$1,395.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.05 / $1,560.05 / $1,753.29	Professional		$1,560.05	$1,560.05	$1,753.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$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 $2,600.00 / $7,055.00 / $14,468.00	Facility		$2,600.00	$7,055.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,295.58 / $1,964.84 / $3,030.78	Professional		$1,295.58	$1,964.84	$3,030.78