Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,000.00	Professional		$501.19	$676.08	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $891.25 / $1,548.82	Professional		$870.96	$891.25	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $199.53	Professional		$100.00	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $501.19 / $1,122.02	Facility		$54.95	$501.19	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,148.15	Professional		$588.84	$724.44	$1,148.15