Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $2.45	Facility		$1.00	$1.00	$2.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.24	Professional		$1.00	$2.00	$2.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $158.49	Professional		$53.70	$74.13	$158.49
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 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.55 / $2.04	Facility		$1.55	$1.55	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.74 / $3.24	Professional		$1.20	$1.74	$3.24