Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.41 / $639.54 / $852.72	Professional		$362.41	$639.54	$852.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.90 / $687.90 / $926.31	Facility		$687.90	$687.90	$926.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $687.90 / $1,188.75	Professional		$83.10	$687.90	$1,188.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $124.74 / $200.00	Professional		$100.00	$124.74	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.99 / $125.99 / $167.97	Professional		$125.99	$125.99	$167.97
United Facility/Professional Professional Modifier Low / Median / High Price $363.43 / $475.72 / $1,171.69	Professional		$363.43	$475.72	$1,171.69