Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $15.06 / $49.12	Facility		$6.48	$15.06	$49.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $9.88 / $27.32	Professional		$6.48	$9.88	$27.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $21.07 / $92.00	Professional		$11.95	$21.07	$92.00
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 $8.27 / $11.58 / $18.52	Professional		$8.27	$11.58	$18.52