Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.27 / $625.38 / $983.52	Professional		$382.27	$625.38	$983.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $766.64 / $1,032.34	Facility		$766.64	$766.64	$1,032.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.11 / $766.64 / $1,537.50	Professional		$488.11	$766.64	$1,537.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $139.00 / $200.00	Professional		$100.00	$139.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $123.20 / $164.27	Professional		$123.20	$123.20	$164.27
United Facility/Professional Professional Modifier Low / Median / High Price $407.64 / $525.10 / $830.25	Professional		$407.64	$525.10	$830.25