Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.22 / $55.22 / $55.22	Facility		$55.22	$55.22	$55.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $48.16 / $56.18	Professional		$40.34	$48.16	$56.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.03 / $65.03 / $65.03	Facility		$65.03	$65.03	$65.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.10 / $50.22	Professional		$49.10	$49.10	$50.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $61.02 / $115.96	Professional		$49.70	$61.02	$115.96
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 $65.17 / $71.79 / $76.25	Professional		$65.17	$71.79	$76.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $86.22	Professional		$32.34	$32.34	$86.22
United Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $70.95 / $111.52	Professional		$52.84	$70.95	$111.52