Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.93 / $313.93 / $313.93	Facility		$313.93	$313.93	$313.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.79 / $119.25 / $170.35	Professional		$101.79	$119.25	$170.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $93.15 / $221.36	Professional		$43.57	$93.15	$221.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $211.09 / $359.28	Professional		$136.84	$211.09	$359.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $64.56 / $197.22	Professional		$32.34	$64.56	$197.22
United Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $115.28 / $227.63	Professional		$73.31	$115.28	$227.63