Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.36 / $480.64 / $736.95	Professional		$272.36	$480.64	$736.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $516.79 / $925.78	Facility		$516.79	$516.79	$925.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.27 / $516.79 / $975.75	Professional		$439.27	$516.79	$975.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $84.16 / $117.82	Professional		$75.73	$84.16	$117.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $126.24 / $578.27	Professional		$94.68	$126.24	$578.27
United Facility/Professional Professional Modifier Low / Median / High Price $349.90 / $440.14 / $874.75	Professional		$349.90	$440.14	$874.75