Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.14 / $48.61 / $73.06	Facility		$47.14	$48.61	$73.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $48.61 / $60.96	Professional		$41.56	$48.61	$60.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $69.53	Professional		$44.04	$44.04	$69.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $54.96 / $98.99	Professional		$41.77	$54.96	$98.99
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $61.28 / $64.66	Professional		$60.33	$61.28	$64.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $74.61	Professional		$32.34	$32.34	$74.61
United Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $68.25 / $105.88	Professional		$48.47	$68.25	$105.88