Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.63 / $1,652.63 / $1,652.63	Facility		$1,652.63	$1,652.63	$1,652.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.80 / $579.13 / $670.94	Professional		$543.80	$579.13	$670.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.66 / $860.24 / $1,030.66	Professional		$819.66	$860.24	$1,030.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.88 / $1,024.06 / $1,798.11	Professional		$776.88	$1,024.06	$1,798.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,038.19	Professional		$30.00	$30.00	$1,038.19
United Facility/Professional Professional Modifier Low / Median / High Price $296.63 / $423.75 / $727.44	Professional		$296.63	$423.75	$727.44