Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $254.94 / $622.74	Professional		$17.60	$254.94	$622.74
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 $11.30 / $11.30 / $33.00	Professional		$11.30	$11.30	$33.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $484.80 / $664.20 / $768.00	Professional		$484.80	$664.20	$768.00
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