Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $111.04 / $360.00	Professional		$106.65	$111.04	$360.00
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 $42.24 / $183.64 / $216.18	Professional		$42.24	$183.64	$216.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $187.84 / $246.56	Professional		$127.84	$187.84	$246.56
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