Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $223.87	Facility		$60.26	$104.71	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $104.71	Professional		$60.26	$60.26	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $169.82 / $407.38	Professional		$61.66	$169.82	$407.38
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 $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $61.66 / $141.25	Facility		$60.26	$61.66	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $85.11	Professional		$60.26	$60.26	$85.11