Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $155.46 / $207.28	Professional		$88.09	$155.46	$207.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $244.39	Facility		$174.27	$174.27	$244.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $174.27 / $307.50	Professional		$22.19	$174.27	$307.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $100.00 / $200.00	Professional		$28.29	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $40.65 / $194.80	Professional		$30.50	$40.65	$194.80
United Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $127.79 / $222.73	Professional		$92.51	$127.79	$222.73