Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.88 / $160.97 / $235.41	Facility		$151.88	$160.97	$235.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $160.97 / $201.00	Professional		$137.12	$160.97	$201.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $221.93	Professional		$141.06	$141.06	$221.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $151.88 / $227.82	Professional		$129.10	$151.88	$227.82
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 $192.65 / $197.44 / $208.33	Professional		$192.65	$197.44	$208.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $240.38	Professional		$32.34	$32.34	$240.38
United Facility/Professional Professional Modifier Low / Median / High Price $159.76 / $223.66 / $346.95	Professional		$159.76	$223.66	$346.95