Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $5,091.00 / $16,990.00	Facility		$688.00	$5,091.00	$16,990.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $688.00 / $688.00	Professional		$688.00	$688.00	$688.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,140.00 / $7,429.00 / $16,193.00	Facility		$7,140.00	$7,429.00	$16,193.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $5,543.00 / $21,484.00	Facility		$578.00	$5,543.00	$21,484.00