Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $629.88 / $776.85	Professional		$356.93	$629.88	$776.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.27 / $912.27 / $912.27	Facility		$912.27	$912.27	$912.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $768.75 / $1,542.19	Professional		$75.70	$768.75	$1,542.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.15 / $200.00	Professional		$100.00	$138.15	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $124.10 / $165.45	Professional		$124.10	$124.10	$165.45
United Facility/Professional Professional Modifier Low / Median / High Price $334.78 / $464.26 / $761.22	Professional		$334.78	$464.26	$761.22