Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,221.00 / $7,723.00	Facility		$1,105.00	$3,221.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.97 / $2,082.94 / $2,774.70	Professional		$1,365.97	$2,082.94	$2,774.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,610.83 / $2,610.83 / $2,610.83	Professional		$2,610.83	$2,610.83	$2,610.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$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 $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,190.96 / $2,996.25 / $5,092.08	Professional		$2,190.96	$2,996.25	$5,092.08