Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.54 / $1,435.20 / $2,341.17	Facility		$735.54	$1,435.20	$2,341.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.78 / $735.54 / $771.42	Professional		$589.78	$735.54	$771.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,235.48 / $3,264.50 / $4,129.18	Facility		$1,235.48	$3,264.50	$4,129.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,093.21 / $1,366.51	Professional		$1,030.84	$1,093.21	$1,366.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,210.95 / $1,605.67	Professional		$345.40	$1,210.95	$1,605.67
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 $1,166.09 / $1,166.09 / $1,166.09	Professional		$1,166.09	$1,166.09	$1,166.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $448.50 / $615.34 / $1,121.25	Professional		$448.50	$615.34	$1,121.25
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $538.20 / $897.00	Professional		$376.74	$538.20	$897.00