Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $131.72 / $137.50	Professional		$106.45	$131.72	$137.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $129.28 / $151.33	Professional		$56.76	$129.28	$151.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $176.10 / $231.15	Professional		$120.00	$176.10	$231.15
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 / $2,500.00	Professional		$30.00	$30.00	$2,500.00