Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $5,549.00	Facility		$1,017.00	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $1,987.50	Professional		$1,987.50	$1,987.50	$1,987.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $908.00	Facility		$400.00	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $511.00 / $630.00	Professional		$280.00	$511.00	$630.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.40 / $1,668.62 / $4,800.34	Professional		$1,093.40	$1,668.62	$4,800.34
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 $1,275.13 / $1,280.44 / $1,355.76	Professional		$1,275.13	$1,280.44	$1,355.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,011.63 / $1,039.70 / $2,500.00	Professional		$1,011.63	$1,039.70	$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