Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.40 / $247.40 / $247.40	Professional		$247.40	$247.40	$247.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Facility		$170.83	$170.83	$170.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $170.83 / $170.83	Professional		$145.21	$170.83	$170.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $379.02 / $451.57 / $519.61	Professional		$379.02	$451.57	$519.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00