Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.42 / $625.20 / $1,019.86	Facility		$320.42	$625.20	$1,019.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $320.42 / $336.05	Professional		$256.92	$320.42	$336.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $1,421.89 / $1,798.80	Facility		$538.20	$1,421.89	$1,798.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $476.19 / $595.24	Professional		$429.83	$476.19	$595.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $527.51 / $699.46	Professional		$312.60	$527.51	$699.46
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $488.44	Professional		$30.00	$30.00	$488.44
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $234.45 / $390.75	Professional		$164.12	$234.45	$390.75