Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.87 / $329.87 / $329.87	Facility		$329.87	$329.87	$329.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $119.80 / $238.65	Professional		$104.94	$119.80	$238.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $126.23 / $248.04	Professional		$65.70	$126.23	$248.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $229.93 / $408.94	Professional		$157.66	$229.93	$408.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $84.58 / $207.23	Professional		$32.34	$84.58	$207.23
United Facility/Professional Professional Modifier Low / Median / High Price $86.47 / $154.03 / $291.02	Professional		$86.47	$154.03	$291.02