Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $102.14 / $179.06	Facility		$102.14	$102.14	$179.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $105.64 / $136.44	Professional		$91.43	$105.64	$136.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $169.07	Professional		$107.43	$107.43	$169.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $122.01 / $227.92	Professional		$100.00	$122.01	$227.92
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $183.02	Professional		$32.34	$32.34	$183.02
United Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $160.96 / $245.06	Professional		$116.55	$160.96	$245.06