Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.63 / $533.20 / $677.88	Professional		$346.63	$533.20	$677.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $359.59 / $847.50	Professional		$305.64	$359.59	$847.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $200.00	Professional		$100.00	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.99 / $546.02 / $870.22	Professional		$443.99	$546.02	$870.22