Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $44.92 / $61.33	Professional		$38.67	$44.92	$61.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $45.58 / $45.58	Professional		$45.58	$45.58	$45.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $81.52 / $136.84	Professional		$64.39	$81.52	$136.84
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