Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Professional		$38.54	$38.54	$38.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $146.03 / $172.49	Professional		$121.61	$146.03	$172.49
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $117.00 / $131.00	Professional		$115.00	$117.00	$131.00