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 / $6,038.78	Facility		$1,017.00	$3,073.00	$6,038.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,929.92 / $2,193.33 / $3,456.50	Professional		$1,929.92	$2,193.33	$3,456.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,354.05	Facility		$400.00	$785.00	$2,354.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,832.60 / $3,071.91 / $4,323.43	Professional		$1,832.60	$3,071.91	$4,323.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,274.21 / $3,721.43 / $9,457.26	Professional		$2,274.21	$3,721.43	$9,457.26
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 $2,687.70 / $2,949.12 / $3,049.93	Professional		$2,687.70	$2,949.12	$3,049.93
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 $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,989.56 / $2,648.38 / $4,595.85	Professional		$1,989.56	$2,648.38	$4,595.85