Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $28.52 / $41.51	Professional		$11.68	$28.52	$41.51
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 $5.28 / $1,426.43 / $1,426.43	Professional		$5.28	$1,426.43	$1,426.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $44.36 / $51.20	Professional		$35.15	$44.36	$51.20
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