Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $186.21	Professional		$131.83	$147.91	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $251.19	Professional		$154.88	$154.88	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $234.42	Professional		$141.25	$165.96	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $229.09	Professional		$208.93	$213.80	$229.09
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 $162.18 / $223.87 / $331.13	Professional		$162.18	$223.87	$331.13