Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,397.86 / $12,352.17 / $29,037.60	Facility		$2,397.86	$12,352.17	$29,037.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $34.65 / $249.50	Professional		$9.74	$34.65	$249.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00