Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,071.52	Professional		$562.34	$691.83	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,258.93	Facility		$398.11	$398.11	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $1,318.26	Professional		$288.40	$398.11	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $147.91	Professional		$95.50	$120.23	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $426.58 / $1,000.00	Facility		$47.86	$426.58	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,023.29	Professional		$457.09	$602.56	$1,023.29