Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,265.00 / $5,405.00	Facility		$630.00	$2,265.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.43 / $353.84 / $425.69	Professional		$241.43	$353.84	$425.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.09 / $591.98 / $815.04	Professional		$494.09	$591.98	$815.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $600.60 / $858.00	Professional		$345.40	$600.60	$858.00
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 $507.68 / $511.82 / $557.70	Professional		$507.68	$511.82	$557.70
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 $2,050.00 / $5,978.00 / $11,479.00	Facility		$2,050.00	$5,978.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.95 / $581.10 / $968.64	Professional		$337.95	$581.10	$968.64