Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,701.00 / $8,985.00	Facility		$923.00	$3,701.00	$8,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $2,719.85	Professional		$40.00	$40.00	$2,719.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $36.93 / $89.48	Professional		$30.05	$36.93	$89.48
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 $43.39 / $44.14 / $48.01	Professional		$43.39	$44.14	$48.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00