Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.44 / $1,272.00 / $5,091.00	Facility		$218.44	$1,272.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $129.04 / $287.35	Professional		$80.92	$129.04	$287.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $157.94 / $336.82	Professional		$157.94	$157.94	$336.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$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 Professional Modifier Low / Median / High Price $190.48 / $298.31 / $481.78	Professional		$190.48	$298.31	$481.78