Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.39 / $1,299.58 / $2,945.03	Professional		$357.39	$1,299.58	$2,945.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.20 / $1,313.97 / $3,072.06	Professional		$432.20	$1,313.97	$3,072.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $488.57 / $1,875.04 / $8,411.17	Professional		$488.57	$1,875.04	$8,411.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $427.71 / $447.43 / $1,777.37	Professional		$427.71	$447.43	$1,777.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,050.82	Professional		$32.34	$32.34	$2,050.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,600.21 / $2,873.79 / $4,111.97	Professional		$1,600.21	$2,873.79	$4,111.97