Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $52.66 / $117.29	Facility		$47.21	$52.66	$117.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $47.21 / $61.23	Professional		$39.11	$47.21	$61.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $72.02 / $102.09	Professional		$72.02	$72.02	$102.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $77.23 / $122.54	Professional		$50.36	$77.23	$122.54
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 $65.12 / $68.45 / $107.64	Professional		$65.12	$68.45	$107.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $124.20	Professional		$32.34	$32.34	$124.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $67.93 / $99.23	Professional		$45.58	$67.93	$99.23