Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $129.66 / $129.66	Facility		$129.66	$129.66	$129.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $129.66 / $137.77	Professional		$129.66	$129.66	$137.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Professional		$162.08	$162.08	$162.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.74 / $264.89 / $345.40	Professional		$207.74	$264.89	$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 / $40.00 / $238.26	Professional		$30.00	$40.00	$238.26
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $171.97	Professional		$162.08	$162.08	$171.97