Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $20.77	Professional		$4.40	$4.40	$20.77
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 $1.51 / $1.51 / $2.64	Professional		$1.51	$1.51	$2.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $22.18 / $25.60	Professional		$17.57	$22.18	$25.60
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