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 / $10,073.00	Facility		$1,017.00	$2,989.00	$10,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.90 / $1,156.80 / $1,502.27	Professional		$855.90	$1,156.80	$1,502.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,324.14	Facility		$400.00	$785.00	$1,324.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.03 / $1,721.16 / $2,278.81	Professional		$1,030.03	$1,721.16	$2,278.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.07 / $2,414.56 / $6,869.66	Professional		$1,568.07	$2,414.56	$6,869.66
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 $1,846.16 / $1,853.18 / $1,961.83	Professional		$1,846.16	$1,853.18	$1,961.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $784.34 / $806.10 / $2,500.00	Professional		$784.34	$806.10	$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 $1,022.70 / $1,495.27 / $2,501.30	Professional		$1,022.70	$1,495.27	$2,501.30