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 $727.49 / $1,074.79 / $1,487.01	Professional		$727.49	$1,074.79	$1,487.01
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 $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$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 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 $1,281.34 / $1,754.00 / $3,030.63	Professional		$1,281.34	$1,754.00	$3,030.63