Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $117.73 / $117.73	Facility		$117.73	$117.73	$117.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $103.06 / $120.62	Professional		$85.43	$103.06	$120.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $138.66 / $138.66	Facility		$138.66	$138.66	$138.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $104.45 / $107.19	Professional		$104.45	$104.45	$107.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $129.50 / $224.28	Professional		$105.96	$129.50	$224.28
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 $138.03 / $153.05 / $163.09	Professional		$138.03	$153.05	$163.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $184.41	Professional		$32.34	$32.34	$184.41
United Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $157.29 / $241.49	Professional		$113.85	$157.29	$241.49