Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Professional		$1.78	$1.78	$1.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $199.53 / $346.74	Professional		$6.46	$199.53	$346.74
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $1.66 / $4.17	Facility		$0.04	$1.66	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.17 / $4.17	Professional		$3.55	$4.17	$4.17