Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $346.74	Facility		$144.54	$223.87	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $181.97	Professional		$125.89	$144.54	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $309.03	Professional		$190.55	$190.55	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $316.23	Professional		$154.88	$208.93	$316.23
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 $204.17 / $213.80 / $281.84	Professional		$204.17	$213.80	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $316.23	Professional		$154.88	$218.78	$316.23