Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.15	Professional		$0.12	$0.12	$0.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $39.60	Professional		$4.88	$4.88	$39.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $11.09 / $12.80	Professional		$8.78	$11.09	$12.80
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 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00