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 $274.05 / $405.10 / $538.19	Professional		$274.05	$405.10	$538.19
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 $433.47 / $673.77 / $1,051.07	Professional		$433.47	$673.77	$1,051.07
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 $536.67 / $604.07 / $681.49	Professional		$536.67	$604.07	$681.49
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 $476.24 / $613.90 / $1,089.73	Professional		$476.24	$613.90	$1,089.73