Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $49.25	Facility		$30.54	$30.54	$49.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $29.52 / $151.13	Professional		$25.45	$29.52	$151.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $33.19 / $33.19	Facility		$33.19	$33.19	$33.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.42 / $55.99	Professional		$28.18	$40.42	$55.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $231.40 / $275.95 / $358.98	Professional		$231.40	$275.95	$358.98
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 $22.38 / $23.00 / $2,500.00	Professional		$22.38	$23.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $34.83 / $55.69	Professional		$25.90	$34.83	$55.69