Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $229.09	Professional		$123.03	$154.88	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $251.19	Facility		$173.78	$173.78	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $173.78 / $309.03	Professional		$22.39	$173.78	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $199.53	Professional		$28.18	$35.48	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $77.62 / $162.18	Facility		$10.00	$77.62	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $199.53	Professional		$97.72	$128.82	$199.53