Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $9,772.37	Facility		$1,148.15	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,818.38	Professional		$1,862.09	$1,862.09	$2,818.38
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 $346.74 / $524.81 / $2,884.03	Professional		$346.74	$524.81	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,290.87	Professional		$1,096.48	$1,698.24	$2,290.87
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 $1,513.56 / $1,584.89 / $1,698.24	Professional		$1,513.56	$1,584.89	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $602.56 / $2,511.89	Professional		$588.84	$602.56	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,019.95 / $7,413.10	Facility		$562.34	$3,019.95	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $8,128.31	Professional		$7,943.28	$7,943.28	$8,128.31