Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $9.44 / $20.94	Facility		$6.25	$9.44	$20.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $7.12	Professional		$6.25	$6.25	$7.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Facility		$4.82	$4.82	$4.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $4.82 / $4.82	Professional		$0.47	$4.82	$4.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $20.26 / $100.00	Professional		$14.83	$20.26	$100.00
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 $5.27 / $5.27 / $5.27	Professional		$5.27	$5.27	$5.27
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.06	Professional		$0.02	$0.02	$0.06