Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.64 / $62.66 / $205.16	Facility		$58.64	$62.66	$205.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $60.23 / $71.76	Professional		$55.20	$60.23	$71.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Facility		$49.22	$49.22	$49.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $54.75	Professional		$49.22	$49.22	$54.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $185.43 / $345.40	Professional		$100.00	$185.43	$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 $16.22 / $16.22 / $44.61	Professional		$16.22	$16.22	$44.61