Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $1,200.00	Professional		$18.05	$18.05	$1,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.59 / $115.59 / $115.59	Facility		$115.59	$115.59	$115.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $46.20 / $46.20	Professional		$46.20	$46.20	$46.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$345.40
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