Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $187.00 / $187.00	Facility		$187.00	$187.00	$187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $187.00 / $234.34	Professional		$73.12	$187.00	$234.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Professional		$86.12	$86.12	$86.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $280.72 / $358.14	Professional		$200.00	$280.72	$358.14
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