Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,634.38 / $9,943.02 / $13,720.86	Professional		$5,634.38	$9,943.02	$13,720.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,694.63 / $10,694.63 / $10,694.63	Facility		$10,694.63	$10,694.63	$10,694.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.04 / $10,694.63 / $20,182.50	Professional		$1,292.04	$10,694.63	$20,182.50
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 $783.48 / $2,611.61 / $7,978.14	Professional		$783.48	$2,611.61	$7,978.14
United Facility/Professional Professional Modifier Low / Median / High Price $4,101.70 / $5,742.38 / $12,305.10	Professional		$4,101.70	$5,742.38	$12,305.10