Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.31 / $470.91 / $2,450.00	Facility		$60.31	$470.91	$2,450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $60.31 / $104.22	Professional		$44.22	$60.31	$104.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $223.92 / $294.99	Professional		$120.00	$223.92	$294.99
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $65.69 / $120.66	Professional		$28.07	$65.69	$120.66