Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $34.44 / $89.26	Professional		$22.87	$34.44	$89.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $92.74	Professional		$88.31	$88.31	$92.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $152.86 / $204.16	Professional		$120.00	$152.86	$204.16
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 $48.00 / $72.00 / $84.00	Professional		$48.00	$72.00	$84.00