Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $5,405.00 / $9,691.00	Facility		$923.00	$5,405.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.11 / $1,353.13 / $2,236.77	Professional		$916.11	$1,353.13	$2,236.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,140.00 / $7,429.00 / $16,193.00	Facility		$7,140.00	$7,429.00	$16,193.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.78 / $1,918.37 / $2,987.68	Professional		$1,201.78	$1,918.37	$2,987.68
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 $1,525.52 / $1,725.87 / $1,952.90	Professional		$1,525.52	$1,725.87	$1,952.90
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 $1,925.74 / $2,919.05 / $4,633.33	Professional		$1,925.74	$2,919.05	$4,633.33