Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $17.76 / $17.76	Facility		$17.76	$17.76	$17.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $15.60 / $18.59	Professional		$13.10	$15.60	$18.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Facility		$21.36	$21.36	$21.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $16.54	Professional		$15.77	$15.77	$16.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $19.62 / $37.29	Professional		$15.99	$19.62	$37.29
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 $24.86 / $32.34 / $32.34	Professional		$24.86	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $23.40 / $37.43	Professional		$17.70	$23.40	$37.43