Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.70 / $2,989.00 / $5,549.00	Facility		$486.70	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.02 / $486.70 / $2,763.49	Professional		$430.02	$486.70	$2,763.49
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 $476.44 / $714.52 / $1,005.62	Professional		$476.44	$714.52	$1,005.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.91 / $900.18 / $9,663.81	Professional		$575.91	$900.18	$9,663.81
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 $643.79 / $680.63 / $744.19	Professional		$643.79	$680.63	$744.19
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 $463.32 / $669.11 / $1,098.93	Professional		$463.32	$669.11	$1,098.93