Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.56 / $465.15 / $739.16	Professional		$289.56	$465.15	$739.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $863.17	Facility		$647.96	$647.96	$863.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $647.96 / $889.50	Professional		$473.01	$647.96	$889.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $78.59 / $100.00	Professional		$66.80	$78.59	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $649.13 / $649.13 / $649.13	Professional		$649.13	$649.13	$649.13
United Facility/Professional Professional Modifier Low / Median / High Price $315.98 / $425.83 / $777.54	Professional		$315.98	$425.83	$777.54