Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $59.28 / $59.28	Professional		$59.28	$59.28	$59.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.69 / $526.69 / $526.69	Facility		$526.69	$526.69	$526.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.69 / $526.69 / $526.69	Professional		$447.69	$526.69	$526.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $200.00	Professional		$100.00	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00