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 $50.12 / $77.62 / $95.50	Professional		$50.12	$77.62	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $107.15	Professional		$67.61	$93.33	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $134.90	Facility		$54.95	$81.28	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $147.91	Professional		$77.62	$100.00	$147.91