Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $410.44	Facility		$0.96	$0.96	$410.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $1.20	Professional		$0.96	$0.96	$1.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $3.24	Professional		$0.22	$0.22	$3.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.15 / $2.29	Professional		$2.15	$2.15	$2.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $1.23	Facility		$0.96	$0.96	$1.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.78	Professional		$0.56	$0.56	$0.78