Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.61 / $811.08 / $1,081.44	Professional		$459.61	$811.08	$1,081.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $1,174.59	Facility		$999.36	$999.36	$1,174.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $999.36 / $1,646.25	Professional		$555.50	$999.36	$1,646.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.91 / $200.00	Professional		$100.00	$177.91	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $159.78 / $213.03	Professional		$159.78	$159.78	$213.03
United Facility/Professional Professional Modifier Low / Median / High Price $460.88 / $603.25 / $1,140.50	Professional		$460.88	$603.25	$1,140.50