Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,073.00 / $7,407.00	Facility		$1,017.00	$3,073.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.13 / $2,015.22 / $2,522.01	Professional		$1,061.13	$2,015.22	$2,522.01
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 $1,681.68 / $2,455.44 / $3,191.14	Professional		$1,681.68	$2,455.44	$3,191.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,559.70 / $3,134.49 / $8,804.92	Professional		$1,559.70	$3,134.49	$8,804.92
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,396.96 / $2,396.96 / $2,396.96	Professional		$2,396.96	$2,396.96	$2,396.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,165.75 / $2,500.00 / $2,500.00	Professional		$1,165.75	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,650.00	Facility		$785.00	$2,800.00	$6,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,591.02 / $2,370.57 / $3,870.13	Professional		$1,591.02	$2,370.57	$3,870.13