Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $14.44 / $20.19	Professional		$13.75	$14.44	$20.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $17.39	Professional		$17.39	$17.39	$17.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $49.90 / $57.11	Professional		$49.90	$49.90	$57.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $15.16 / $20.19	Facility		$12.03	$15.16	$20.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00