Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.68 / $1,295.70 / $2,103.57	Professional		$817.68	$1,295.70	$2,103.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $2,207.92	Facility		$1,639.62	$1,639.62	$2,207.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $1,639.62 / $2,962.50	Professional		$198.09	$1,639.62	$2,962.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $310.77	Professional		$100.00	$200.00	$310.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.26 / $340.34 / $1,559.60	Professional		$255.26	$340.34	$1,559.60
United Facility/Professional Professional Modifier Low / Median / High Price $901.03 / $1,159.97 / $1,872.33	Professional		$901.03	$1,159.97	$1,872.33