Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $7,723.00	Facility		$1,017.00	$2,989.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.66 / $1,643.70 / $2,457.79	Professional		$1,112.66	$1,643.70	$2,457.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $6,773.00 / $8,602.00	Facility		$2,060.00	$6,773.00	$8,602.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,565.32 / $2,661.04 / $3,913.30	Professional		$1,565.32	$2,661.04	$3,913.30
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 $1,980.80 / $2,246.17 / $2,543.65	Professional		$1,980.80	$2,246.17	$2,543.65
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 $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,860.58 / $2,886.40 / $4,417.99	Professional		$1,860.58	$2,886.40	$4,417.99