Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $63.10 / $63.10	Facility		$34.67	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $36.31	Professional		$25.12	$30.20	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $50.12	Professional		$28.18	$33.88	$50.12
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 $39.81 / $43.65 / $45.71	Professional		$39.81	$43.65	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $45.71	Professional		$32.36	$33.11	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $64.57	Professional		$31.62	$41.69	$64.57