Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $110.01 / $150.54	Professional		$84.87	$110.01	$150.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $165.14	Professional		$67.76	$67.76	$165.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.99 / $148.78 / $239.97	Professional		$119.99	$148.78	$239.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.98 / $197.62 / $2,500.00	Professional		$191.98	$197.62	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $70.42 / $102.44	Professional		$55.14	$70.42	$102.44