Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Professional		$425.00	$425.00	$425.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $120.00 / $345.40	Professional		$32.95	$120.00	$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 / $30.00	Professional		$30.00	$30.00	$30.00