Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $54.31 / $54.31	Facility		$54.31	$54.31	$54.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $54.31 / $68.80	Professional		$25.37	$54.31	$68.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $27.70 / $27.70	Professional		$27.70	$27.70	$27.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $106.42 / $123.21	Professional		$89.17	$106.42	$123.21
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $115.00 / $129.00	Professional		$113.00	$115.00	$129.00