Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $83.18	Professional		$61.66	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $346.74	Professional		$120.23	$346.74	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $44.67 / $64.57	Professional		$15.14	$44.67	$64.57