Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.88 / $206.39 / $214.06	Facility		$177.88	$206.39	$214.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $185.88 / $219.47	Professional		$160.24	$185.88	$219.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $258.38	Professional		$45.05	$45.05	$258.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $192.30 / $233.51	Professional		$154.53	$192.30	$233.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,500.00 / $2,500.00	Professional		$100.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71