Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $142.97 / $190.00	Professional		$81.02	$142.97	$190.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $207.19	Facility		$153.77	$153.77	$207.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $153.77 / $288.75	Professional		$18.59	$153.77	$288.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $100.00 / $200.00	Professional		$31.38	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $28.17 / $37.56	Professional		$28.17	$28.17	$37.56
United Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $105.46 / $201.24	Professional		$79.64	$105.46	$201.24