Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,348.96	Professional		$707.95	$707.95	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,288.25 / $1,548.82	Professional		$331.13	$1,288.25	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $346.74	Professional		$100.00	$125.89	$346.74
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08