Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $43.28 / $53.25	Facility		$15.50	$43.28	$53.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.82 / $25.57	Professional		$10.00	$13.82	$25.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $8.50	Professional		$8.50	$8.50	$8.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $201.52 / $377.20	Professional		$152.68	$201.52	$377.20
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $214.53 / $233.51 / $261.98	Professional		$214.53	$233.51	$261.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00