Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $48.98 / $91.20	Facility		$39.81	$48.98	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $57.54	Professional		$37.15	$43.65	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $72.44	Professional		$43.65	$43.65	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $89.13	Professional		$41.69	$53.70	$89.13
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 $60.26 / $61.66 / $64.57	Professional		$60.26	$61.66	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $100.00	Professional		$48.98	$67.61	$100.00