Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $32.40 / $134.68	Facility		$23.15	$32.40	$134.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $23.15 / $70.00	Professional		$5.00	$23.15	$70.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $250.00	Facility		$105.00	$105.00	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $61.24	Professional		$50.59	$50.59	$61.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $26.31 / $247.13	Professional		$19.21	$26.31	$247.13
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $29.38 / $31.72	Professional		$28.74	$29.38	$31.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00