Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $66.07 / $66.07	Facility		$37.15	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $38.02	Professional		$26.30	$30.90	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $53.70	Professional		$30.20	$37.15	$53.70
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 $42.66 / $46.77 / $50.12	Professional		$42.66	$46.77	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $66.07	Professional		$32.36	$43.65	$66.07