Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $295.12	Facility		$138.04	$204.17	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $186.21	Professional		$114.82	$134.90	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $363.08	Professional		$288.40	$302.00	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$346.74
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 $19.05 / $19.05 / $2,511.89	Professional		$19.05	$19.05	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71