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 $6.68 / $73.45 / $666.56	Professional		$6.68	$73.45	$666.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $1,243.60 / $3,458.03	Professional		$49.36	$1,243.60	$3,458.03
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 / $1,216.06 / $1,848.25	Professional		$904.26	$1,216.06	$1,848.25