Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,544.00 / $5,389.00	Facility		$438.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $154.01 / $183.30	Professional		$105.06	$154.01	$183.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.94 / $251.94 / $251.94	Professional		$251.94	$251.94	$251.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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 Facility Modifier Low / Median / High Price $785.00 / $2,873.00 / $7,384.00	Facility		$785.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.20 / $249.06 / $435.32	Professional		$183.20	$249.06	$435.32