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 $11.53 / $11.53 / $11.53	Facility		$11.53	$11.53	$11.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $137.59 / $280.02	Professional		$11.95	$137.59	$280.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $345.40 / $345.40	Professional		$8.97	$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 / $135.54 / $229.66	Professional		$94.29	$135.54	$229.66