Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $1,152.00 / $1,512.00	Facility		$1,152.00	$1,152.00	$1,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,152.00 / $1,224.00	Professional		$1,152.00	$1,152.00	$1,224.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Professional		$1,224.00	$1,224.00	$1,224.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $525.65 / $663.86	Professional		$345.40	$525.65	$663.86
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 $30.00 / $40.00 / $568.14	Professional		$30.00	$40.00	$568.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,296.00	Professional		$1,200.00	$1,200.00	$1,296.00