Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $123.03	Professional		$66.07	$75.86	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $165.96	Facility		$57.54	$57.54	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $154.88	Professional		$48.98	$57.54	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.49 / $18.62	Professional		$11.48	$13.49	$18.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $50.12 / $112.20	Facility		$5.50	$50.12	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $114.82	Professional		$54.95	$66.07	$114.82