Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.16 / $208.92 / $247.24	Professional		$170.16	$208.92	$247.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $184.50 / $289.56	Professional		$184.50	$184.50	$289.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $198.33 / $297.50	Professional		$168.58	$198.33	$297.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $257.83 / $274.42	Professional		$250.32	$257.83	$274.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $316.64	Professional		$32.34	$32.34	$316.64
United Facility/Professional Professional Modifier Low / Median / High Price $193.68 / $283.05 / $420.62	Professional		$193.68	$283.05	$420.62