Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $2,989.00 / $7,407.00	Facility		$27.80	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $43.59 / $54.89	Professional		$27.80	$43.59	$54.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $83.98 / $83.98	Professional		$83.98	$83.98	$83.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$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 $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $17.42 / $291.42	Professional		$12.34	$17.42	$291.42