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 $426.58 / $512.86 / $6,309.57	Professional		$426.58	$512.86	$6,309.57
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 $467.74 / $691.83 / $1,122.02	Professional		$467.74	$691.83	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $5,370.32 / $10,964.78	Professional		$575.44	$5,370.32	$10,964.78
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 / $588.84 / $954.99	Professional		$436.52	$588.84	$954.99