Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $24.01 / $26.99	Professional		$15.71	$24.01	$26.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $60.51 / $72.62	Professional		$19.00	$60.51	$72.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$200.00	$345.40
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 $25.30 / $31.82 / $56.58	Professional		$25.30	$31.82	$56.58