Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $48.00	Professional		$17.66	$17.66	$48.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $139.44 / $152.82	Professional		$19.50	$139.44	$152.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $56.16 / $64.48	Professional		$41.49	$56.16	$64.48
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