Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $61.60 / $61.60	Facility		$61.60	$61.60	$61.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $66.33 / $82.00	Professional		$53.81	$66.33	$82.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $68.89 / $68.89	Professional		$68.89	$68.89	$68.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.98 / $224.58 / $314.45	Professional		$169.98	$224.58	$314.45
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