Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $389.05	Facility		$239.88	$239.88	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $269.15	Professional		$177.83	$234.42	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $346.74	Professional		$83.18	$123.03	$346.74
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $251.19 / $457.09	Facility		$229.09	$251.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $478.63	Professional		$204.17	$269.15	$478.63