Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $68.23 / $68.23	Facility		$68.23	$68.23	$68.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $68.23 / $106.50	Professional		$61.36	$68.23	$106.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $136.88	Professional		$41.25	$56.50	$136.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $418.39 / $446.88	Professional		$298.70	$418.39	$446.88
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 $65.14 / $81.22 / $142.99	Professional		$65.14	$81.22	$142.99