Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Professional		$906.54	$906.54	$906.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.50 / $486.32 / $601.88	Professional		$481.50	$486.32	$601.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $997.19	Facility		$906.54	$906.54	$997.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $224.52 / $385.43	Professional		$201.63	$224.52	$385.43
United Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $224.52 / $385.43	Professional		$201.63	$224.52	$385.43