Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $14.97 / $191.36	Facility		$2.68	$14.97	$191.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.68 / $4.88	Professional		$1.97	$2.68	$4.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Facility		$3.57	$3.57	$3.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $28.15 / $120.00	Professional		$20.60	$28.15	$120.00
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $4.30 / $8.36	Professional		$2.35	$4.30	$8.36