Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $31.13	Professional		$3.20	$3.20	$31.13
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 $3.96 / $6.50 / $6.50	Professional		$3.96	$6.50	$6.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $33.27 / $38.40	Professional		$26.37	$33.27	$38.40
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