Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $1,908.26	Facility		$1,908.26	$1,908.26	$1,908.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $2,338.48	Professional		$1,908.26	$1,908.26	$2,338.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Facility		$4,300.60	$4,300.60	$4,300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16,223.81 / $20,249.11 / $23,300.10	Professional		$16,223.81	$20,249.11	$23,300.10
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 / $30.00	Professional		$30.00	$30.00	$30.00