Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,073.00 / $10,073.00	Facility		$1,017.00	$3,073.00	$10,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,238.47 / $1,863.14 / $2,162.54	Professional		$1,238.47	$1,863.14	$2,162.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $1,907.92	Professional		$120.00	$345.40	$1,907.92
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 $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.35 / $1,837.77 / $3,814.88	Professional		$1,196.35	$1,837.77	$3,814.88