Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.41 / $2,989.00 / $5,549.00	Facility		$500.41	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.06 / $500.41 / $6,249.99	Professional		$442.06	$500.41	$6,249.99
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 $491.41 / $737.10 / $1,037.39	Professional		$491.41	$737.10	$1,037.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.91 / $895.29 / $9,451.52	Professional		$575.91	$895.29	$9,451.52
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 $456.76 / $624.50 / $1,099.09	Professional		$456.76	$624.50	$1,099.09