Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.32 / $281.51 / $1,232.19	Facility		$120.32	$281.51	$1,232.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.32 / $195.39 / $1,134.58	Professional		$120.32	$195.39	$1,134.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $145.44 / $1,243.60	Professional		$133.74	$145.44	$1,243.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$345.40
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 Professional Modifier Low / Median / High Price $904.26 / $1,221.04 / $1,796.18	Professional		$904.26	$1,221.04	$1,796.18