Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.22 / $808.62 / $1,078.16	Professional		$458.22	$808.62	$1,078.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $1,171.02	Facility		$344.45	$344.45	$1,171.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $344.45 / $1,642.50	Professional		$105.06	$344.45	$1,642.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.35 / $200.00	Professional		$100.00	$177.35	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.29 / $159.29 / $212.39	Professional		$159.29	$159.29	$212.39
United Facility/Professional Professional Modifier Low / Median / High Price $438.80 / $595.91 / $1,062.88	Professional		$438.80	$595.91	$1,062.88