Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.04 / $4,431.24 / $6,219.20	Professional		$2,511.04	$4,431.24	$6,219.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,775.22 / $4,775.22 / $7,564.78	Facility		$4,775.22	$4,775.22	$7,564.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.53 / $4,775.22 / $9,011.25	Professional		$671.53	$4,775.22	$9,011.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $1,129.71	Professional		$100.00	$200.00	$1,129.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $874.58 / $1,166.09 / $5,343.59	Professional		$874.58	$1,166.09	$5,343.59
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.60 / $3,925.14 / $6,799.70	Professional		$3,200.60	$3,925.14	$6,799.70