Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Facility		$11.34	$11.34	$11.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Professional		$11.34	$11.34	$11.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $319.20 / $462.30	Professional		$125.00	$319.20	$462.30
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 $23.92 / $35.79 / $62.38	Professional		$23.92	$35.79	$62.38