Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $76.81 / $124.17	Professional		$48.08	$76.81	$124.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $162.47	Facility		$96.42	$96.42	$162.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $154.50	Professional		$81.96	$96.42	$154.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $13.41 / $20.12	Professional		$12.07	$13.41	$20.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $91.71 / $91.71	Professional		$91.71	$91.71	$91.71
United Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $66.56 / $114.28	Professional		$59.77	$66.56	$114.28