Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $97.10 / $108.66	Professional		$54.74	$97.10	$108.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $151.88	Professional		$58.28	$58.28	$151.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $129.72 / $193.05	Professional		$99.25	$129.72	$193.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $181.62 / $2,500.00	Professional		$176.43	$181.62	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $62.71 / $87.48	Professional		$47.42	$62.71	$87.48