Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $133.88 / $213.67	Professional		$117.00	$133.88	$213.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.61 / $178.18 / $278.55	Professional		$123.61	$178.18	$278.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $188.93 / $559.84	Professional		$125.53	$188.93	$559.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.04 / $144.77 / $155.41	Professional		$140.04	$144.77	$155.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $175.74	Professional		$32.34	$32.34	$175.74
United Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $173.92 / $287.42	Professional		$119.46	$173.92	$287.42