Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $165.98 / $281.18	Professional		$143.96	$165.98	$281.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $152.07 / $152.07	Professional		$152.07	$152.07	$152.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $211.47 / $662.20	Professional		$144.28	$211.47	$662.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $196.37 / $205.11 / $220.66	Professional		$196.37	$205.11	$220.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $249.52	Professional		$32.34	$32.34	$249.52
United Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $232.21 / $392.16	Professional		$167.88	$232.21	$392.16