Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.02 / $781.80 / $1,042.40	Professional		$443.02	$781.80	$1,042.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.94 / $840.94 / $1,132.52	Facility		$840.94	$840.94	$1,132.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $840.94 / $1,586.25	Professional		$101.59	$840.94	$1,586.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $148.31 / $200.00	Professional		$100.00	$148.31	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $154.02 / $205.35	Professional		$154.02	$154.02	$205.35
United Facility/Professional Professional Modifier Low / Median / High Price $446.88 / $575.99 / $959.98	Professional		$446.88	$575.99	$959.98