Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $35.90 / $35.90	Facility		$34.63	$35.90	$35.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $32.79 / $37.53	Professional		$30.44	$32.79	$37.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $21.90 / $43.33	Professional		$21.90	$21.90	$43.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $345.40 / $345.40	Professional		$345.40	$345.40	$345.40
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 $30.94 / $30.94 / $30.94	Professional		$30.94	$30.94	$30.94