Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $70.33 / $229.81	Facility		$70.33	$70.33	$229.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $70.33 / $74.72	Professional		$70.33	$70.33	$74.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Facility		$136.94	$136.94	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.65 / $345.40	Professional		$100.00	$128.65	$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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $226.91 / $306.88 / $306.88	Facility		$226.91	$306.88	$306.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $111.65	Professional		$83.51	$83.51	$111.65