Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.01 / $622.29 / $866.97	Professional		$356.01	$622.29	$866.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.00 / $910.00 / $910.00	Facility		$910.00	$910.00	$910.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $766.82 / $1,354.69	Professional		$75.52	$766.82	$1,354.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $137.80 / $200.00	Professional		$100.00	$137.80	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $123.77 / $165.02	Professional		$123.77	$123.77	$165.02
United Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $467.45 / $759.08	Professional		$356.93	$467.45	$759.08