Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $171.91 / $1,232.19	Facility		$73.45	$171.91	$1,232.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $119.32 / $1,134.58	Professional		$73.45	$119.32	$1,134.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $37.29 / $1,243.60	Professional		$34.29	$37.29	$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 $913.08 / $1,207.66 / $1,848.25	Professional		$913.08	$1,207.66	$1,848.25