Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $142.50 / $165.92	Professional		$78.97	$142.50	$165.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $240.13	Professional		$80.93	$80.93	$240.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $205.09 / $278.19	Professional		$151.74	$205.09	$278.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.92 / $287.13 / $2,500.00	Professional		$278.92	$287.13	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $99.13 / $181.18	Professional		$68.20	$99.13	$181.18