Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $143.99 / $238.19	Facility		$71.09	$143.99	$238.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $71.09 / $75.55	Professional		$71.09	$71.09	$75.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $136.91 / $345.40	Professional		$84.44	$136.91	$345.40
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $88.88 / $94.30	Professional		$88.88	$88.88	$94.30