Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $102.33 / $190.55	Facility		$89.13	$102.33	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $112.20	Professional		$77.62	$89.13	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $151.36	Professional		$93.33	$93.33	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $138.04	Professional		$85.11	$100.00	$138.04
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 $125.89 / $128.82 / $138.04	Professional		$125.89	$128.82	$138.04
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $199.53	Professional		$97.72	$134.90	$199.53