Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $74.13 / $134.90	Facility		$61.66	$74.13	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $83.18	Professional		$56.23	$63.10	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $107.15	Professional		$66.07	$66.07	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $131.83	Professional		$63.10	$81.28	$131.83
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 $89.13 / $91.20 / $97.72	Professional		$89.13	$91.20	$97.72
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 $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $144.54	Professional		$70.79	$100.00	$144.54