Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,235.94 / $10,000.00	Facility		$1,023.29	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,862.09	Professional		$851.14	$1,174.90	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,479.11 / $2,454.71	Professional		$562.34	$1,479.11	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,570.88 / $7,943.28	Professional		$1,584.89	$4,570.88	$7,943.28
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 $1,862.09 / $1,862.09 / $1,949.84	Professional		$1,862.09	$1,862.09	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $812.83 / $2,511.89	Professional		$776.25	$812.83	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,238.72	Professional		$1,000.00	$1,348.96	$2,238.72