Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $60.93 / $60.93	Facility		$60.93	$60.93	$60.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $98.90 / $117.40	Professional		$60.93	$98.90	$117.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $96.56 / $96.56	Facility		$96.56	$96.56	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $137.59 / $298.13	Professional		$27.60	$137.59	$298.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $345.40 / $345.40	Professional		$12.94	$345.40	$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 $94.29 / $131.81 / $231.64	Professional		$94.29	$131.81	$231.64