Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.48 / $78.94 / $121.69	Facility		$53.48	$78.94	$121.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $51.54 / $78.18	Professional		$25.61	$51.54	$78.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $50.29 / $82.01	Professional		$50.29	$50.29	$82.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $53.48 / $80.22	Professional		$30.14	$53.48	$80.22
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 $38.82 / $41.91 / $75.02	Professional		$38.82	$41.91	$75.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $54.67 / $78.48	Professional		$30.00	$54.67	$78.48
United Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $82.81 / $136.85	Professional		$56.75	$82.81	$136.85