Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $50.12	Professional		$25.70	$30.90	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $63.10	Facility		$35.48	$35.48	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $63.10	Professional		$29.51	$35.48	$63.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.37 / $7.41	Professional		$4.27	$5.37	$7.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $21.88 / $44.67	Facility		$2.45	$21.88	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $46.77	Professional		$22.39	$30.90	$46.77