Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.52 / $173.73 / $316.55	Professional		$153.52	$173.73	$316.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $254.59 / $406.84	Professional		$170.12	$254.59	$406.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.85 / $262.11 / $445.10	Professional		$181.85	$262.11	$445.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.97 / $218.52 / $236.41	Professional		$212.97	$218.52	$236.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.70 / $247.32	Professional		$32.34	$50.70	$247.32
United Facility/Professional Professional Modifier Low / Median / High Price $188.71 / $260.27 / $387.70	Professional		$188.71	$260.27	$387.70