Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $106.30 / $135.52	Professional		$92.87	$106.30	$135.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $109.51 / $171.45	Professional		$109.51	$109.51	$171.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $117.62 / $176.43	Professional		$99.98	$117.62	$176.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $152.91 / $163.44	Professional		$148.10	$152.91	$163.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $188.58	Professional		$32.34	$32.34	$188.58
United Facility/Professional Professional Modifier Low / Median / High Price $116.98 / $165.84 / $239.97	Professional		$116.98	$165.84	$239.97