Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Facility		$20.83	$20.83	$20.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $29.28	Professional		$20.83	$20.83	$29.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $108.00	Facility		$60.00	$70.00	$108.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $179.62 / $282.13	Professional		$140.27	$179.62	$282.13
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $214.53 / $233.51 / $261.98	Professional		$214.53	$233.51	$261.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00