Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $25.35 / $62.21	Professional		$14.09	$25.35	$62.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $31.02 / $59.42	Professional		$18.73	$31.02	$59.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $42.81 / $159.07	Professional		$22.81	$42.81	$159.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $21.37 / $39.75	Professional		$20.32	$21.37	$39.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $45.87	Professional		$32.34	$32.34	$45.87
United Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $57.66 / $94.05	Professional		$37.32	$57.66	$94.05