Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $140.97 / $140.97	Facility		$140.97	$140.97	$140.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.36 / $151.93 / $198.40	Professional		$132.36	$151.93	$198.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $163.40 / $163.40	Professional		$163.40	$163.40	$163.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $277.06 / $481.02 / $608.98	Professional		$277.06	$481.02	$608.98
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