Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $134.90	Professional		$93.33	$104.71	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $177.83	Professional		$109.65	$109.65	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $165.96	Professional		$100.00	$117.49	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $151.36 / $162.18	Professional		$147.91	$151.36	$162.18
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 $117.49 / $158.49 / $234.42	Professional		$117.49	$158.49	$234.42