Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,251.00 / $4,087.56 / $5,640.39	Professional		$2,251.00	$4,087.56	$5,640.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.89 / $5,106.14 / $8,298.75	Professional		$616.89	$5,106.14	$8,298.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $183.50 / $896.49	Professional		$100.00	$183.50	$896.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,919.64 / $4,919.64 / $4,919.64	Professional		$4,919.64	$4,919.64	$4,919.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,091.96 / $2,504.40 / $5,369.31	Professional		$2,091.96	$2,504.40	$5,369.31