Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.65 / $852.00 / $1,236.24	Professional		$537.65	$852.00	$1,236.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,451.62 / $1,451.62 / $1,451.62	Facility		$1,451.62	$1,451.62	$1,451.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $1,223.23 / $2,160.94	Professional		$124.05	$1,223.23	$2,160.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $218.26	Professional		$100.00	$200.00	$218.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $223.77	Professional		$167.84	$167.84	$223.77
United Facility/Professional Professional Modifier Low / Median / High Price $569.55 / $738.61 / $1,211.06	Professional		$569.55	$738.61	$1,211.06