Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $234.42	Professional		$158.49	$181.97	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $302.00	Professional		$186.21	$186.21	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $275.42	Professional		$169.82	$199.53	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $257.04 / $275.42	Professional		$251.19	$257.04	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $407.38	Professional		$199.53	$275.42	$407.38