Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $33.92 / $33.92	Facility		$30.98	$33.92	$33.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $35.28	Professional		$33.92	$33.92	$35.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $42.06 / $82.19	Professional		$30.27	$42.06	$82.19
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 $44.10 / $44.10 / $44.10	Professional		$44.10	$44.10	$44.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $49.86	Professional		$30.00	$40.00	$49.86
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $35.99	Professional		$33.92	$33.92	$35.99