Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $89.10 / $153.43	Facility		$89.10	$89.10	$153.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $89.50 / $112.95	Professional		$78.23	$89.50	$112.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $144.78	Professional		$92.55	$92.55	$144.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $98.99 / $149.09	Professional		$84.14	$98.99	$149.09
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 $124.72 / $128.69 / $138.44	Professional		$124.72	$128.69	$138.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.74	Professional		$32.34	$32.34	$159.74
United Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $135.61 / $200.29	Professional		$94.91	$135.61	$200.29