Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.78 / $124.28 / $195.37	Facility		$83.78	$124.28	$195.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $96.46 / $132.24	Professional		$60.50	$96.46	$132.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $114.08	Professional		$78.08	$78.08	$114.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.77 / $257.39 / $346.72	Professional		$179.77	$257.39	$346.72
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 $18.48 / $19.95 / $2,500.00	Professional		$18.48	$19.95	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $116.84 / $204.63	Professional		$85.62	$116.84	$204.63