Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $190.08 / $308.61	Professional		$119.90	$190.08	$308.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $323.99	Facility		$240.50	$240.50	$323.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $240.50 / $386.25	Professional		$29.06	$240.50	$386.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $100.00 / $200.00	Professional		$49.04	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $49.94 / $228.74	Professional		$37.46	$49.94	$228.74
United Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $166.39 / $293.91	Professional		$127.82	$166.39	$293.91