Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,235.94 / $9,772.37	Facility		$758.58	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $2,290.87	Professional		$416.87	$501.19	$2,290.87
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 $457.09 / $676.08 / $1,122.02	Professional		$457.09	$676.08	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $5,888.44 / $11,220.18	Professional		$575.44	$5,888.44	$11,220.18
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 $645.65 / $676.08 / $741.31	Professional		$645.65	$676.08	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $851.14	Professional		$707.95	$776.25	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,818.38 / $7,413.10	Facility		$562.34	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,000.00	Professional		$436.52	$602.56	$1,000.00