Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $202.74 / $389.90	Professional		$131.78	$202.74	$389.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $267.79 / $345.40 / $345.40	Professional		$267.79	$345.40	$345.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $40.00	Professional		$30.00	$30.00	$40.00