Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.28 / $874.02 / $1,165.35	Professional		$495.28	$874.02	$1,165.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $1,265.97	Facility		$469.00	$469.00	$1,265.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.58 / $469.00 / $1,706.25	Professional		$113.58	$469.00	$1,706.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $191.68 / $200.00	Professional		$100.00	$191.68	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.19 / $172.19 / $229.58	Professional		$172.19	$172.19	$229.58
United Facility/Professional Professional Modifier Low / Median / High Price $496.51 / $644.20 / $1,056.26	Professional		$496.51	$644.20	$1,056.26