Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $13.64 / $13.64	Facility		$13.64	$13.64	$13.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $14.49	Professional		$13.64	$13.64	$14.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Facility		$17.05	$17.05	$17.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$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 $23.19 / $30.00 / $30.00	Professional		$23.19	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $18.09	Professional		$17.05	$17.05	$18.09