Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,623.41 / $9,772.37	Facility		$1,202.26	$5,623.41	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $2,290.87	Professional		$1,202.26	$1,905.46	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,317.64 / $16,218.10	Facility		$4,677.35	$8,317.64	$16,218.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $4,073.80	Professional		$1,905.46	$2,754.23	$4,073.80