Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $27.53	Facility		$16.29	$16.29	$27.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $16.13 / $19.38	Professional		$13.40	$16.13	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $23.81	Professional		$15.77	$15.77	$23.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $17.76 / $26.64	Professional		$15.10	$17.76	$26.64
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $23.09 / $24.57	Professional		$20.88	$23.09	$24.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.34 / $32.34	Professional		$25.70	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $23.79 / $36.31	Professional		$17.30	$23.79	$36.31