Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $1.28 / $1.96	Facility		$0.85	$1.28	$1.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $0.90	Professional		$0.85	$0.85	$0.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Facility		$0.90	$0.90	$0.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$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 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $0.97 / $1.03	Professional		$0.92	$0.97	$1.03