Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $75.80 / $109.38	Facility		$70.56	$75.80	$109.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $74.03 / $87.65	Professional		$60.74	$74.03	$87.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $103.35	Professional		$66.06	$66.06	$103.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $71.09 / $114.05	Professional		$59.98	$71.09	$114.05
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 $88.97 / $91.74 / $98.84	Professional		$88.97	$91.74	$98.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $114.05	Professional		$32.34	$32.34	$114.05
United Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $97.68 / $145.18	Professional		$71.03	$97.68	$145.18