Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $114.43 / $151.36	Professional		$97.08	$114.43	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $152.06 / $238.26	Professional		$110.06	$152.06	$238.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $162.91 / $422.49	Professional		$108.38	$162.91	$422.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $132.47 / $141.19	Professional		$127.50	$132.47	$141.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.66	Professional		$32.34	$32.34	$159.66
United Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $148.72 / $252.11	Professional		$102.64	$148.72	$252.11