Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $77.95 / $92.65	Professional		$64.55	$77.95	$92.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $110.01	Professional		$69.93	$69.93	$110.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $74.98 / $119.30	Professional		$63.73	$74.98	$119.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $97.47 / $103.39	Professional		$95.29	$97.47	$103.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $119.30	Professional		$32.34	$32.34	$119.30
United Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $104.13 / $158.27	Professional		$73.62	$104.13	$158.27