Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $30.23 / $30.23	Facility		$28.85	$30.23	$30.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $39.60 / $422.00	Professional		$13.22	$39.60	$422.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $34.92 / $34.92	Facility		$34.92	$34.92	$34.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $34.92	Professional		$5.25	$5.25	$34.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$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 $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00