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 $57.76 / $57.76 / $162.47	Facility		$57.76	$57.76	$162.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $154.50	Professional		$49.10	$57.76	$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 $55.48 / $66.56 / $117.88	Professional		$55.48	$66.56	$117.88