Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $136.43 / $431.21	Facility		$58.34	$136.43	$431.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $95.74 / $396.88	Professional		$58.34	$95.74	$396.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $57.66 / $169.34	Professional		$53.02	$57.66	$169.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $59.84 / $100.00	Professional		$46.02	$59.84	$100.00
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 $51.75 / $51.86 / $54.39	Professional		$51.75	$51.86	$54.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $70.78 / $703.02	Professional		$41.14	$70.78	$703.02