Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $22.86 / $76.98	Facility		$11.43	$22.86	$76.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $18.20 / $25.90	Professional		$11.43	$18.20	$25.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $27.70 / $28.10	Professional		$22.71	$27.70	$28.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $28.70 / $50.19	Professional		$20.91	$28.70	$50.19
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $24.96 / $26.65	Professional		$24.36	$24.96	$26.65
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 $21.23 / $25.94 / $40.93	Professional		$21.23	$25.94	$40.93