Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $48.00 / $149.01	Facility		$24.00	$48.00	$149.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $36.97 / $48.31	Professional		$24.00	$36.97	$48.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $85.09 / $117.76	Professional		$46.97	$85.09	$117.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$345.40
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 $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 $32.88 / $45.52 / $74.20	Professional		$32.88	$45.52	$74.20