Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $37.25	Facility		$37.25	$37.25	$37.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $40.09 / $71.77	Professional		$37.25	$40.09	$71.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $60.45 / $60.45	Professional		$60.45	$60.45	$60.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $190.20 / $212.13	Professional		$141.24	$190.20	$212.13
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