Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $112.41 / $161.62	Professional		$104.89	$112.41	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $150.25 / $208.94	Professional		$96.15	$150.25	$208.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $164.33 / $302.07	Professional		$117.98	$164.33	$302.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $142.63 / $152.59	Professional		$138.78	$142.63	$152.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $176.07	Professional		$32.34	$32.34	$176.07
United Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $112.55 / $199.64	Professional		$80.39	$112.55	$199.64