Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $273.20 / $513.47	Professional		$42.27	$273.20	$513.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $112.44 / $128.59	Professional		$101.25	$112.44	$128.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $104.51 / $196.73	Professional		$69.67	$104.51	$196.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $53.60 / $92.04	Professional		$41.85	$53.60	$92.04