Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $97.00 / $97.00	Facility		$97.00	$97.00	$97.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $97.00 / $97.00	Professional		$80.00	$97.00	$97.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $94.60 / $94.60	Facility		$94.60	$94.60	$94.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $69.06 / $124.75	Professional		$69.06	$69.06	$124.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.77 / $170.23 / $186.88	Professional		$125.77	$170.23	$186.88
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 / $30.00	Professional		$30.00	$30.00	$30.00