Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.24 / $159.24 / $277.17	Facility		$159.24	$159.24	$277.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $159.24 / $243.38	Professional		$131.88	$159.24	$243.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $190.66 / $268.23	Professional		$152.00	$190.66	$268.23
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 $222.29 / $232.47 / $247.86	Professional		$222.29	$232.47	$247.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $200.19 / $274.11 / $431.24	Professional		$200.19	$274.11	$431.24