Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.53 / $162.54 / $232.17	Facility		$162.53	$162.54	$232.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $162.54 / $253.11	Professional		$133.21	$162.54	$253.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $216.38 / $216.38	Professional		$216.38	$216.38	$216.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.75 / $386.05 / $487.55	Professional		$302.75	$386.05	$487.55
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 $254.57 / $254.57 / $270.10	Professional		$254.57	$254.57	$270.10