Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,550.00 / $5,150.00	Facility		$1,300.00	$2,550.00	$5,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.00 / $1,300.00 / $1,765.00	Professional		$1,080.00	$1,300.00	$1,765.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $2,464.44 / $2,514.67	Professional		$1,700.00	$2,464.44	$2,514.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $2,641.42 / $4,141.10	Professional		$345.40	$2,641.42	$4,141.10
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,384.62 / $2,441.27 / $2,691.72	Professional		$2,384.62	$2,441.27	$2,691.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $68.59 / $2,500.00	Professional		$34.29	$68.59	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $137.43 / $137.43	Professional		$137.43	$137.43	$137.43