Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $100.00	Facility		$14.13	$14.13	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $26.92	Professional		$14.13	$22.91	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $42.66	Professional		$28.84	$28.84	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $125.89 / $346.74	Professional		$50.12	$125.89	$346.74
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 $1,513.56 / $2,511.89 / $2,511.89	Professional		$1,513.56	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,951.21 / $7,413.10	Facility		$575.44	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $47.86	Professional		$22.91	$30.90	$47.86