Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $74.73 / $74.73	Facility		$74.73	$74.73	$74.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $30.34 / $31.94	Professional		$24.59	$30.34	$31.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $35.38	Professional		$16.80	$16.80	$35.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $50.80 / $116.24	Professional		$32.58	$50.80	$116.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $46.95 / $47.91	Professional		$43.44	$46.95	$47.91
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $17.57 / $32.90	Professional		$8.11	$17.57	$32.90