Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $142.65 / $218.19	Professional		$123.90	$142.65	$218.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $135.10 / $135.10	Professional		$135.10	$135.10	$135.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.97 / $187.39 / $352.86	Professional		$127.97	$187.39	$352.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $182.44 / $195.72	Professional		$174.30	$182.44	$195.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $221.31	Professional		$32.34	$32.34	$221.31
United Facility/Professional Professional Modifier Low / Median / High Price $137.08 / $221.73 / $347.98	Professional		$137.08	$221.73	$347.98