Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $37.15	Professional		$15.14	$19.05	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.84 / $165.96	Professional		$16.22	$28.84	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $64.57 / $117.49	Professional		$15.49	$64.57	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.30 / $112.20	Professional		$17.78	$26.30	$112.20