Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.08 / $683.24 / $899.69	Professional		$460.08	$683.24	$899.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.50 / $894.40 / $1,543.13	Professional		$862.50	$894.40	$1,543.13
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 $587.00 / $724.69 / $1,154.96	Professional		$587.00	$724.69	$1,154.96