Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.38 / $0.47	Professional		$0.08	$0.38	$0.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.39 / $28.84	Professional		$16.60	$22.39	$28.84
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 $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $0.33	Facility		$0.02	$0.06	$0.33
United Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.13	Professional		$0.06	$0.06	$0.13