Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,989.00 / $2,989.00 / $3,636.00	Facility		$2,989.00	$2,989.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $94.22 / $105.29	Professional		$61.89	$94.22	$105.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $87.63 / $150.53	Professional		$69.69	$87.63	$150.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $89.51 / $282.35	Professional		$65.64	$89.51	$282.35
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 Professional Modifier Low / Median / High Price $59.73 / $82.37 / $157.85	Professional		$59.73	$82.37	$157.85