Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $1.18	Facility		$0.83	$0.83	$1.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.83 / $24.50	Professional		$0.61	$0.83	$24.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $22.52 / $125.00	Professional		$16.64	$22.52	$125.00
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 Facility Modifier Low / Median / High Price $235.83 / $235.83 / $235.83	Facility		$235.83	$235.83	$235.83
United Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $235.83 / $300.14	Professional		$235.83	$235.83	$300.14