Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $37.15 / $37.15	Professional		$20.09	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $19.36	Professional		$19.36	$19.36	$19.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $46.57 / $160.00	Professional		$36.90	$46.57	$160.00
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 $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00