Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.73 / $1,203.06 / $1,483.77	Professional		$681.73	$1,203.06	$1,483.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $396.70 / $1,742.33	Facility		$396.70	$396.70	$1,742.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.33 / $396.70 / $2,077.50	Professional		$156.33	$396.70	$2,077.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $263.85	Professional		$100.00	$200.00	$263.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $237.00 / $315.99	Professional		$237.00	$237.00	$315.99
United Facility/Professional Professional Modifier Low / Median / High Price $652.75 / $886.51 / $1,453.56	Professional		$652.75	$886.51	$1,453.56