Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $1.65 / $123.72	Facility		$1.65	$1.65	$123.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.68 / $2.61	Professional		$1.23	$1.68	$2.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Professional		$34.00	$34.00	$34.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $73.47 / $150.00	Professional		$10.51	$73.47	$150.00
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.80 / $4.22	Professional		$1.45	$1.80	$4.22