Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $28.02 / $47.27	Facility		$18.11	$28.02	$47.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.86 / $21.95	Professional		$18.11	$18.86	$21.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Facility		$18.86	$18.86	$18.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $19.94 / $120.00	Professional		$16.03	$19.94	$120.00
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 $24.52 / $24.52 / $24.52	Professional		$24.52	$24.52	$24.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $20.01	Professional		$18.86	$18.86	$20.01