Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Facility		$2.81	$2.81	$2.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $827.86 / $925.09	Professional		$345.40	$827.86	$925.09
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00