Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $138.04	Professional		$107.15	$131.83	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $128.82 / $151.36	Professional		$56.23	$128.82	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $204.17	Professional		$120.23	$177.83	$204.17
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 $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89