Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.89 / $1,492.74 / $2,059.92	Professional		$845.89	$1,492.74	$2,059.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $2,161.92	Facility		$1,450.41	$1,450.41	$2,161.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.84 / $1,450.41 / $3,787.50	Professional		$1,232.84	$1,450.41	$3,787.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $200.00	Professional		$100.00	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.06 / $392.09 / $1,506.91	Professional		$294.06	$392.09	$1,506.91
United Facility/Professional Professional Modifier Low / Median / High Price $882.25 / $1,142.91 / $1,833.35	Professional		$882.25	$1,142.91	$1,833.35