Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $245.47	Professional		$194.98	$194.98	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $323.59	Facility		$257.04	$257.04	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $616.60	Professional		$323.59	$616.60	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71