Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $16,165.66	Facility		$2,374.87	$2,374.87	$16,165.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $2,374.87	Professional		$2,374.87	$2,374.87	$2,374.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.70 / $1,107.70 / $1,107.70	Professional		$1,107.70	$1,107.70	$1,107.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
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