Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $208.93 / $216.96	Professional		$166.05	$208.93	$216.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $184.19 / $329.53	Professional		$172.39	$184.19	$329.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $139.09 / $182.57	Professional		$100.00	$139.09	$182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.98 / $244.19 / $522.39	Professional		$184.98	$244.19	$522.39