Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Professional		$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $6,456.54	Facility		$3,467.37	$3,467.37	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $3,467.37 / $7,413.10	Professional		$549.54	$3,467.37	$7,413.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $630.96 / $630.96	Professional		$100.00	$630.96	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,344.23 / $5,248.07	Facility		$257.04	$2,344.23	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $5,370.32	Professional		$2,570.40	$3,311.31	$5,370.32