Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $5,549.00	Facility		$1,017.00	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $2,062.50	Professional		$1,875.00	$1,875.00	$2,062.50
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 $280.00 / $525.00 / $6,092.50	Professional		$280.00	$525.00	$6,092.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.39 / $1,854.27 / $2,905.43	Professional		$1,278.39	$1,854.27	$2,905.43
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 $1,510.82 / $1,575.52 / $1,695.49	Professional		$1,510.82	$1,575.52	$1,695.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $583.16 / $599.35 / $2,500.00	Professional		$583.16	$599.35	$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 $7,980.00 / $7,980.00 / $7,980.00	Professional		$7,980.00	$7,980.00	$7,980.00