Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $99.35 / $156.29	Professional		$56.30	$99.35	$156.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $199.68	Facility		$111.50	$111.50	$199.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $193.50	Professional		$94.78	$111.50	$193.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $17.30 / $26.39	Professional		$14.71	$17.30	$26.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $25.97 / $144.75	Professional		$19.47	$25.97	$144.75
United Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $93.48 / $158.47	Professional		$66.86	$93.48	$158.47