Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.20 / $903.05 / $1,094.83	Professional		$576.20	$903.05	$1,094.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.53 / $1,227.53 / $1,227.53	Professional		$1,227.53	$1,227.53	$1,227.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$200.00	$345.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $961.95 / $1,552.40	Professional		$129.44	$961.95	$1,552.40