Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.83 / $63.83 / $109.38	Facility		$63.83	$63.83	$109.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $63.94 / $80.20	Professional		$55.93	$63.94	$80.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $103.35	Professional		$66.06	$66.06	$103.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $70.56 / $114.05	Professional		$59.98	$70.56	$114.05
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 $88.97 / $91.74 / $98.84	Professional		$88.97	$91.74	$98.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $114.05	Professional		$32.34	$32.34	$114.05
United Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $94.25 / $145.18	Professional		$69.78	$94.25	$145.18