Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $93.33 / $190.55	Facility		$2.00	$93.33	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.02 / $3.98	Professional		$1.91	$3.02	$3.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Facility		$3.72	$3.72	$3.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $151.36	Professional		$20.89	$28.18	$151.36
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 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $6.92 / $6.92	Facility		$3.39	$6.92	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.57 / $9.12	Professional		$2.57	$4.57	$9.12