Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.52 / $121.29 / $179.06	Facility		$115.52	$121.29	$179.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $121.29 / $144.86	Professional		$99.27	$121.29	$144.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $169.07	Professional		$107.43	$107.43	$169.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.19 / $115.52 / $173.28	Professional		$98.19	$115.52	$173.28
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 $146.69 / $150.18 / $158.61	Professional		$146.69	$150.18	$158.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $183.02	Professional		$32.34	$32.34	$183.02
United Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $159.04 / $247.37	Professional		$114.16	$159.04	$247.37