Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,153.37 / $7,723.00	Facility		$1,017.00	$3,153.37	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,649.49 / $3,153.37 / $3,950.98	Professional		$2,649.49	$3,153.37	$3,950.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,689.15 / $4,293.32 / $5,660.82	Professional		$2,689.15	$4,293.32	$5,660.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$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 $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 $2,425.98 / $3,302.21 / $6,310.05	Professional		$2,425.98	$3,302.21	$6,310.05