Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Professional		$0.30	$0.30	$0.30
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 $2.71 / $2.71 / $2.71	Professional		$2.71	$2.71	$2.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $55.45 / $64.00	Professional		$43.95	$55.45	$64.00
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 $1.86 / $1.95 / $2,500.00	Professional		$1.86	$1.95	$2,500.00