Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $29.04 / $40.99	Professional		$27.83	$29.04	$40.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $36.59 / $36.59	Professional		$36.59	$36.59	$36.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.95 / $113.95 / $128.58	Professional		$113.95	$113.95	$128.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $31.63 / $40.99	Facility		$26.44	$31.63	$40.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00