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 $223.87 / $371.54 / $1,000.00	Professional		$223.87	$371.54	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $489.78	Professional		$346.74	$389.05	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $616.60	Professional		$323.59	$478.63	$616.60
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 $380.19 / $398.11 / $436.52	Professional		$380.19	$398.11	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $501.19	Professional		$457.09	$457.09	$501.19
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 $316.23 / $426.58 / $676.08	Professional		$316.23	$426.58	$676.08