Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $9,549.93	Professional		$6,456.54	$7,585.78	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $8,128.31 / $15,135.61	Professional		$977.24	$8,128.31	$15,135.61
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 $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,380.38 / $8,912.51	Facility		$380.19	$1,380.38	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,365.16 / $7,244.36	Professional		$3,090.30	$4,365.16	$7,244.36