Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $223.87	Facility		$102.33	$120.23	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $134.90	Professional		$91.20	$104.71	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $173.78	Professional		$107.15	$107.15	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $229.09	Professional		$100.00	$128.82	$229.09
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 $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $234.42	Professional		$117.49	$162.18	$234.42