Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.99 / $412.99 / $412.99	Professional		$412.99	$412.99	$412.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $251.60 / $296.00	Professional		$251.60	$251.60	$296.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $757.10 / $902.03 / $1,037.94	Professional		$757.10	$902.03	$1,037.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00