Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.99 / $105.81 / $153.43	Facility		$98.99	$105.81	$153.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $103.63 / $122.59	Professional		$85.13	$103.63	$122.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $144.78	Professional		$92.55	$92.55	$144.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $99.57 / $149.09	Professional		$84.14	$99.57	$149.09
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 $124.72 / $128.69 / $138.44	Professional		$124.72	$128.69	$138.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.74	Professional		$32.34	$32.34	$159.74
United Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $136.25 / $204.42	Professional		$94.55	$136.25	$204.42