Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $307.20 / $514.55	Facility		$153.60	$307.20	$514.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $191.23	Professional		$153.60	$153.60	$191.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.56 / $306.52 / $369.98	Professional		$163.56	$306.52	$369.98
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.27 / $156.27 / $160.60	Professional		$156.27	$156.27	$160.60
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $169.76	Professional		$160.00	$160.00	$169.76