Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.77 / $1,060.57 / $1,060.57	Professional		$433.77	$1,060.57	$1,060.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $500.00 / $525.00	Facility		$350.00	$500.00	$525.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Professional		$1.81	$1.81	$1.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $548.91 / $785.92 / $928.13	Professional		$548.91	$785.92	$928.13
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00