Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.71 / $115.39 / $230.98	Facility		$102.71	$115.39	$230.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $102.71 / $122.60	Professional		$85.65	$102.71	$122.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $221.46	Professional		$141.06	$141.06	$221.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $158.08 / $246.13	Professional		$110.35	$158.08	$246.13
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 $143.16 / $150.01 / $211.28	Professional		$143.16	$150.01	$211.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $243.78	Professional		$32.34	$32.34	$243.78
United Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $147.08 / $209.32	Professional		$100.82	$147.08	$209.32