Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Professional		$6.00	$6.00	$6.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $15.24 / $19.80	Professional		$15.24	$15.24	$19.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $62.38 / $72.00	Professional		$49.44	$62.38	$72.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00