Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $219.32 / $310.18	Professional		$125.47	$219.32	$310.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.16 / $238.16 / $396.04	Facility		$238.16	$238.16	$396.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $238.16 / $382.13	Professional		$202.44	$238.16	$382.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $38.78 / $58.17	Professional		$34.90	$38.78	$58.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.23 / $283.23 / $283.23	Professional		$283.23	$283.23	$283.23
United Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $184.81 / $402.99	Professional		$128.74	$184.81	$402.99