Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.62 / $588.62 / $588.62	Facility		$588.62	$588.62	$588.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.62 / $588.62 / $588.62	Professional		$588.62	$588.62	$588.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.33 / $781.33 / $781.33	Professional		$781.33	$781.33	$781.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,654.50 / $2,089.50	Professional		$345.40	$1,654.50	$2,089.50
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00