Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.25 / $240.25 / $380.54	Facility		$240.25	$240.25	$380.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.86 / $240.25 / $277.16	Professional		$217.86	$240.25	$277.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $191.36 / $191.36	Professional		$191.36	$191.36	$191.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $121.39 / $345.40	Professional		$82.40	$121.39	$345.40
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.03 / $280.18 / $509.62	Professional		$199.03	$280.18	$509.62