Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $707.95	Professional		$467.74	$575.44	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $851.14 / $1,023.29	Professional		$812.83	$851.14	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,778.28	Professional		$776.25	$1,000.00	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $707.95	Professional		$295.12	$426.58	$707.95