Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.35 / $934.14 / $1,245.52	Professional		$529.35	$934.14	$1,245.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,353.08 / $1,353.08 / $1,353.08	Facility		$1,353.08	$1,353.08	$1,353.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $1,140.20 / $2,371.88	Professional		$115.61	$1,140.20	$2,371.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $204.87	Professional		$100.00	$200.00	$204.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.02 / $184.02 / $245.36	Professional		$184.02	$184.02	$245.36
United Facility/Professional Professional Modifier Low / Median / High Price $530.77 / $688.37 / $1,227.79	Professional		$530.77	$688.37	$1,227.79