Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $52.91 / $97.86	Facility		$37.31	$52.91	$97.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $59.80 / $69.97	Professional		$37.31	$59.80	$69.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $74.43 / $95.49	Professional		$74.43	$74.43	$95.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$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 $61.63 / $80.86 / $122.18	Professional		$61.63	$80.86	$122.18