Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $309.03	Professional		$186.21	$288.40	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $446.68	Professional		$234.42	$234.42	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $199.53	Professional		$104.71	$151.36	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $537.03	Professional		$257.04	$338.84	$537.03