Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.21 / $33.21 / $33.21	Facility		$33.21	$33.21	$33.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $29.66 / $35.40	Professional		$24.84	$29.66	$35.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $40.07 / $40.07	Facility		$40.07	$40.07	$40.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $30.93	Professional		$29.76	$29.76	$30.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $36.60 / $69.73	Professional		$29.63	$36.60	$69.73
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 $40.08 / $43.17 / $45.32	Professional		$40.08	$43.17	$45.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $51.24	Professional		$32.34	$32.34	$51.24
United Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $44.03 / $71.14	Professional		$33.65	$44.03	$71.14