Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $73.98 / $112.54	Professional		$41.92	$73.98	$112.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $139.01	Facility		$78.94	$78.94	$139.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $102.82 / $186.09	Professional		$67.09	$102.82	$186.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $12.85 / $19.28	Professional		$10.92	$12.85	$19.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $88.34 / $88.34	Professional		$88.34	$88.34	$88.34
United Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $62.49 / $106.86	Professional		$49.21	$62.49	$106.86