Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.00 / $1,340.00 / $1,340.00	Facility		$1,340.00	$1,340.00	$1,340.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.00 / $1,340.00 / $1,591.25	Professional		$1,340.00	$1,340.00	$1,591.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $2,580.34	Professional		$100.00	$345.40	$2,580.34
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $1,777.18	Professional		$1,675.00	$1,675.00	$1,777.18