Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $35.96 / $40.86	Professional		$23.96	$35.96	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $50.91 / $50.91	Professional		$50.91	$50.91	$50.91
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 $33.89 / $41.64 / $69.59	Professional		$33.89	$41.64	$69.59