Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $64.40 / $1,197.00	Facility		$39.31	$64.40	$1,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $43.24	Professional		$39.31	$39.31	$43.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Facility		$39.31	$39.31	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $80.14	Professional		$39.31	$39.31	$80.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $55.03 / $161.90	Professional		$35.08	$55.03	$161.90
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Professional		$51.10	$51.10	$51.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $604.85 / $622.64 / $667.11	Professional		$604.85	$622.64	$667.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $43.10	Professional		$39.31	$39.31	$43.10