Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.89 / $123.28 / $145.41	Professional		$100.89	$123.28	$145.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $109.51 / $171.45	Professional		$109.51	$109.51	$171.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $117.62 / $176.43	Professional		$99.98	$117.62	$176.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $152.91 / $163.44	Professional		$148.10	$152.91	$163.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $188.58	Professional		$32.34	$32.34	$188.58
United Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $163.55 / $245.06	Professional		$119.04	$163.55	$245.06