Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $503.29 / $503.29	Professional		$503.29	$503.29	$503.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $397.80	Facility		$390.00	$390.00	$397.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $390.00 / $397.80	Professional		$331.50	$390.00	$397.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,854.34 / $3,400.75 / $3,913.15	Professional		$2,854.34	$3,400.75	$3,913.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00