Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $18.27	Facility		$9.33	$9.33	$18.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.54 / $18.89	Professional		$9.33	$14.54	$18.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $12.98 / $21.68	Professional		$12.85	$12.98	$21.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$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
United Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $20.45 / $31.74	Professional		$15.71	$20.45	$31.74