Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $602.56	Professional		$309.03	$416.87	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $691.83	Professional		$169.82	$199.53	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $199.53	Professional		$100.00	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $302.00 / $676.08	Facility		$30.90	$302.00	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $691.83	Professional		$354.81	$446.68	$691.83