Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $26.61 / $70.95	Facility		$24.41	$26.61	$70.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $24.23 / $30.65	Professional		$19.89	$24.23	$30.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $44.04 / $55.68	Professional		$43.64	$44.04	$55.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $45.78 / $75.50	Professional		$25.49	$45.78	$75.50
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 $32.96 / $34.59 / $65.43	Professional		$32.96	$34.59	$65.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.50	Professional		$32.34	$32.34	$75.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $34.38 / $51.53	Professional		$23.95	$34.38	$51.53