Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.00 / $1,545.00 / $3,132.00	Facility		$595.00	$1,545.00	$3,132.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,500.00 / $3,090.00	Facility		$1,100.00	$1,500.00	$3,090.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $200.00 / $13,940.00	Facility		$100.00	$200.00	$13,940.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $1,900.00 / $1,900.00	Facility		$1,900.00	$1,900.00	$1,900.00
United Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $1,038.00 / $1,747.00	Facility		$582.00	$1,038.00	$1,747.00