Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Facility		$0.02	$0.03	$0.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.60 / $1.69	Professional		$1.60	$1.60	$1.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.69 / $26.85	Professional		$21.48	$21.69	$26.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $12.71 / $120.00	Professional		$9.03	$12.71	$120.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $33.04 / $33.04	Facility		$33.04	$33.04	$33.04