Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $124.97 / $175.07	Professional		$70.81	$124.97	$175.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $240.72	Facility		$134.41	$134.41	$240.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $253.88	Professional		$114.26	$134.41	$253.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $19.61 / $29.42	Professional		$17.34	$19.61	$29.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.27 / $150.27 / $150.27	Professional		$150.27	$150.27	$150.27
United Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $105.77 / $187.42	Professional		$72.66	$105.77	$187.42