Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.04 / $47.49	Facility		$4.04	$4.04	$47.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.04 / $4.75	Professional		$4.00	$4.04	$4.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $190.00 / $345.40	Professional		$6.20	$190.00	$345.40
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00