Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $27.52 / $27.52	Facility		$27.52	$27.52	$27.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $29.69 / $40.74	Professional		$24.81	$29.69	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $34.24 / $34.24	Professional		$34.24	$34.24	$34.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $105.69 / $125.00	Professional		$81.51	$105.69	$125.00
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00