Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.76 / $61.76 / $109.40	Facility		$61.76	$61.76	$109.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $63.64 / $83.68	Professional		$55.18	$63.64	$83.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $103.82	Professional		$65.77	$65.77	$103.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $82.93 / $139.57	Professional		$63.41	$82.93	$139.57
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 $89.84 / $91.75 / $96.98	Professional		$89.84	$91.75	$96.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $111.90	Professional		$32.34	$32.34	$111.90
United Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $93.74 / $145.51	Professional		$70.76	$93.74	$145.51