Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.00 / $422.00 / $422.00	Professional		$422.00	$422.00	$422.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $34.92 / $34.92	Facility		$34.92	$34.92	$34.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $34.92 / $34.92	Professional		$5.25	$34.92	$34.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $112.62	Facility		$100.00	$100.00	$112.62