Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.32 / $89.32 / $89.32	Facility		$89.32	$89.32	$89.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $78.59 / $92.56	Professional		$65.40	$78.59	$92.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.82 / $105.82 / $105.82	Facility		$105.82	$105.82	$105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $81.77	Professional		$79.45	$79.45	$81.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $98.70 / $170.15	Professional		$80.39	$98.70	$170.15
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 $105.52 / $116.12 / $123.27	Professional		$105.52	$116.12	$123.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $139.38	Professional		$32.34	$32.34	$139.38
United Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $115.86 / $179.92	Professional		$88.03	$115.86	$179.92