Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $222.10 / $340.07	Professional		$193.04	$222.10	$340.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $194.32 / $194.32	Professional		$194.32	$194.32	$194.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.52 / $269.91 / $552.04	Professional		$173.52	$269.91	$552.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $250.63 / $262.52 / $281.32	Professional		$250.63	$262.52	$281.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $318.11	Professional		$32.34	$32.34	$318.11
United Facility/Professional Professional Modifier Low / Median / High Price $188.71 / $318.18 / $537.29	Professional		$188.71	$318.18	$537.29