Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.75 / $1,751.40	Facility		$61.66	$89.75	$1,751.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $94.23	Professional		$89.75	$89.75	$94.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $105.83	Professional		$89.75	$89.75	$105.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $102.01 / $188.48	Professional		$76.29	$102.01	$188.48
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 $116.68 / $116.68 / $116.68	Professional		$116.68	$116.68	$116.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $100.55 / $107.73	Professional		$97.68	$100.55	$107.73
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $98.40	Professional		$89.75	$89.75	$98.40