Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $13.02	Facility		$13.02	$13.02	$13.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $15.19 / $24.29	Professional		$12.18	$15.19	$24.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $26.58 / $26.58	Professional		$26.58	$26.58	$26.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $102.16 / $118.28	Professional		$85.60	$102.16	$118.28
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 $43.00 / $48.00 / $53.00	Professional		$43.00	$48.00	$53.00