Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,365.00 / $5,389.00	Facility		$438.00	$1,365.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $77.16 / $96.19	Professional		$49.27	$77.16	$96.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $89.85	Facility		$89.85	$89.85	$89.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $92.59 / $375.77	Professional		$65.72	$92.59	$375.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $168.93 / $345.40	Professional		$125.00	$168.93	$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 $98.00 / $98.00 / $134.54	Facility		$98.00	$98.00	$134.54
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $103.43 / $154.09	Professional		$80.84	$103.43	$154.09