Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Facility		$20.36	$20.36	$20.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $35.00 / $39.14	Professional		$19.25	$35.00	$39.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $25.73 / $25.73	Facility		$25.73	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$345.40
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $31.25 / $51.65	Professional		$23.63	$31.25	$51.65