Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.38 / $2,995.38 / $4,225.43	Professional		$1,697.38	$2,995.38	$4,225.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,248.38 / $3,248.38 / $5,109.85	Facility		$3,248.38	$3,248.38	$5,109.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.13 / $3,248.38 / $6,123.75	Professional		$453.13	$3,248.38	$6,123.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $768.50	Professional		$100.00	$200.00	$768.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $594.21 / $792.27 / $3,634.82	Professional		$594.21	$792.27	$3,634.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,163.55 / $2,756.36 / $4,606.28	Professional		$2,163.55	$2,756.36	$4,606.28