Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,344.23 / $7,762.47	Facility		$741.31	$2,344.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $107.15	Professional		$56.23	$89.13	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $141.25	Professional		$102.33	$114.82	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $204.17	Professional		$104.71	$138.04	$204.17
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 $123.03 / $125.89 / $138.04	Professional		$123.03	$125.89	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $158.49	Professional		$144.54	$144.54	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $190.55	Professional		$85.11	$117.49	$190.55