Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $97.18 / $125.59	Professional		$62.57	$97.18	$125.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $147.71	Professional		$57.66	$57.66	$147.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $126.20 / $200.00	Professional		$99.30	$126.20	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.63 / $176.68 / $2,500.00	Professional		$171.63	$176.68	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $61.00 / $83.39	Professional		$46.92	$61.00	$83.39