Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $275.70 / $275.70	Professional		$275.70	$275.70	$275.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $226.63 / $226.63	Facility		$226.63	$226.63	$226.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $192.64 / $226.63	Professional		$192.64	$192.64	$226.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $576.72 / $687.11 / $790.64	Professional		$576.72	$687.11	$790.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00