Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $115.79	Facility		$91.66	$91.66	$115.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $93.33	Professional		$91.66	$91.66	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.51 / $357.51 / $357.51	Professional		$357.51	$357.51	$357.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $7.51 / $505.57	Professional		$5.40	$7.51	$505.57
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.86 / $6.38	Professional		$5.51	$5.86	$6.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00