Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $40.94 / $73.06	Facility		$40.94	$40.94	$73.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $44.27 / $58.07	Professional		$36.72	$44.27	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $69.53	Professional		$44.04	$44.04	$69.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $55.68 / $98.99	Professional		$42.28	$55.68	$98.99
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 $60.33 / $61.28 / $64.66	Professional		$60.33	$61.28	$64.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $74.61	Professional		$32.34	$32.34	$74.61
United Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $69.53 / $103.49	Professional		$49.17	$69.53	$103.49