Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.40 / $3.98	Professional		$2.00	$2.40	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.23 / $39.81	Professional		$1.17	$1.23	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $12.88	Professional		$8.71	$10.96	$12.88
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 $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Professional		$1.78	$1.78	$1.78