Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.88 / $298.88 / $473.40	Facility		$298.88	$298.88	$473.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.01 / $290.74 / $344.81	Professional		$264.01	$290.74	$344.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $238.10 / $238.10	Professional		$238.10	$238.10	$238.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $229.15 / $345.40	Professional		$155.94	$229.15	$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 $234.60 / $309.58 / $509.76	Professional		$234.60	$309.58	$509.76