Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.55 / $135.55 / $235.41	Facility		$135.55	$135.55	$235.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $144.97 / $191.28	Professional		$121.18	$144.97	$191.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $221.93	Professional		$141.06	$141.06	$221.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $151.88 / $227.82	Professional		$129.10	$151.88	$227.82
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 $192.65 / $197.44 / $208.33	Professional		$192.65	$197.44	$208.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $240.38	Professional		$32.34	$32.34	$240.38
United Facility/Professional Professional Modifier Low / Median / High Price $157.02 / $219.82 / $341.00	Professional		$157.02	$219.82	$341.00