Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $150.24 / $187.96	Professional		$131.47	$150.24	$187.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.15 / $154.15 / $240.98	Professional		$154.15	$154.15	$240.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.79 / $165.64 / $248.46	Professional		$140.79	$165.64	$248.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.33 / $215.33 / $230.24	Professional		$208.33	$215.33	$230.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $265.67	Professional		$32.34	$32.34	$265.67
United Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $232.93 / $335.31	Professional		$155.22	$232.93	$335.31