Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $77.62	Facility		$23.99	$38.02	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $30.90	Professional		$19.95	$22.91	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $64.57	Professional		$40.74	$43.65	$64.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.71 / $72.44	Professional		$25.70	$45.71	$72.44
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 $33.11 / $34.67 / $66.07	Professional		$33.11	$34.67	$66.07
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 $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $51.29	Professional		$22.91	$33.11	$51.29