Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.24 / $467.24 / $467.24	Facility		$467.24	$467.24	$467.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $467.24 / $585.39	Professional		$89.23	$467.24	$585.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Professional		$97.79	$97.79	$97.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $595.65 / $790.87	Professional		$200.00	$595.65	$790.87
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