Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $5,549.00 / $9,691.00	Facility		$1,272.00	$5,549.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $6,116.00 / $10,073.00	Professional		$1,017.00	$6,116.00	$10,073.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $6,773.00 / $8,602.00	Facility		$2,060.00	$6,773.00	$8,602.00
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