Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $67.15 / $67.15	Professional		$67.15	$67.15	$67.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $30.72 / $869.25	Professional		$26.11	$30.72	$869.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $417.58 / $497.52 / $572.48	Professional		$417.58	$497.52	$572.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00