Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $43.97 / $58.07	Professional		$36.00	$43.97	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $68.09	Professional		$43.15	$43.15	$68.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $46.23 / $73.13	Professional		$39.29	$46.23	$73.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $60.10 / $63.38	Professional		$59.11	$60.10	$63.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $73.13	Professional		$32.34	$32.34	$73.13
United Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $68.11 / $101.13	Professional		$47.24	$68.11	$101.13