Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $93.33	Professional		$58.88	$77.62	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $114.82	Professional		$69.18	$69.18	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $109.65	Professional		$63.10	$74.13	$109.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $102.33	Professional		$95.50	$97.72	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $154.88	Professional		$75.86	$102.33	$154.88