Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.34 / $828.24 / $1,104.32	Professional		$469.34	$828.24	$1,104.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $1,199.73	Facility		$999.36	$999.36	$1,199.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.16 / $999.36 / $1,428.75	Professional		$567.16	$999.36	$1,428.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.67 / $200.00	Professional		$100.00	$181.67	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $163.16 / $217.55	Professional		$163.16	$163.16	$217.55
United Facility/Professional Professional Modifier Low / Median / High Price $447.18 / $617.48 / $1,526.06	Professional		$447.18	$617.48	$1,526.06