Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.58 / $73.34 / $109.40	Facility		$70.58	$73.34	$109.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $73.34 / $87.73	Professional		$60.76	$73.34	$87.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $103.82	Professional		$65.77	$65.77	$103.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $70.58 / $111.90	Professional		$59.99	$70.58	$111.90
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 $89.84 / $91.75 / $96.98	Professional		$89.84	$91.75	$96.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $111.90	Professional		$32.34	$32.34	$111.90
United Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $97.73 / $150.18	Professional		$72.09	$97.73	$150.18