Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.49 / $3.83	Facility		$1.66	$2.49	$3.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $1.76	Professional		$1.66	$1.66	$1.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.75 / $3.56	Professional		$0.52	$0.75	$3.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $120.00 / $345.40	Professional		$11.95	$120.00	$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 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.17 / $4.42	Professional		$3.67	$4.17	$4.42