Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,322.50 / $9,392.64 / $12,961.35	Professional		$5,322.50	$9,392.64	$12,961.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,102.62 / $10,102.62 / $10,102.62	Facility		$10,102.62	$10,102.62	$10,102.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.52 / $10,102.62 / $19,068.75	Professional		$1,220.52	$10,102.62	$19,068.75
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 $740.12 / $2,467.04 / $7,536.56	Professional		$740.12	$2,467.04	$7,536.56
United Facility/Professional Professional Modifier Low / Median / High Price $3,852.25 / $5,424.53 / $9,686.09	Professional		$3,852.25	$5,424.53	$9,686.09