Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $172.60 / $205.55	Professional		$142.00	$172.60	$205.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.15 / $154.15 / $240.98	Professional		$154.15	$154.15	$240.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.79 / $165.64 / $248.46	Professional		$140.79	$165.64	$248.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.33 / $215.33 / $230.24	Professional		$208.33	$215.33	$230.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $265.67	Professional		$32.34	$32.34	$265.67
United Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $220.00 / $337.86	Professional		$157.13	$220.00	$337.86