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 $344.99 / $505.78 / $584.76	Professional		$344.99	$505.78	$584.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.61 / $803.61 / $803.61	Professional		$803.61	$803.61	$803.61
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 $589.05 / $805.00 / $1,387.99	Professional		$589.05	$805.00	$1,387.99