Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $238.98 / $238.98	Professional		$238.98	$238.98	$238.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $180.13 / $180.13	Facility		$180.13	$180.13	$180.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $180.13 / $180.13	Professional		$153.11	$180.13	$180.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $561.51 / $669.00 / $769.80	Professional		$561.51	$669.00	$769.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00