Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.74 / $137.74 / $137.74	Facility		$137.74	$137.74	$137.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $34.82 / $138.74	Professional		$13.33	$34.82	$138.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $140.55	Facility		$140.55	$140.55	$140.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.56 / $75.00	Professional		$19.00	$25.56	$75.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $345.40	Professional		$45.00	$45.00	$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 $23.82 / $137.94 / $258.69	Professional		$23.82	$137.94	$258.69