Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.06 / $138.06 / $138.06	Facility		$138.06	$138.06	$138.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $147.30 / $172.99	Professional		$119.31	$147.30	$172.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.12 / $144.12 / $144.12	Professional		$144.12	$144.12	$144.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.24 / $428.31 / $460.86	Professional		$211.24	$428.31	$460.86
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