Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.12 / $1,120.00 / $1,120.00	Facility		$707.12	$1,120.00	$1,120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,120.00 / $1,330.00	Professional		$1,120.00	$1,120.00	$1,330.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $2,156.69	Professional		$100.00	$200.00	$2,156.69
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 $1,400.00 / $1,400.00 / $1,590.88	Professional		$1,400.00	$1,400.00	$1,590.88