Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $130.19	Facility		$4.79	$4.79	$130.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.78 / $10.68	Professional		$4.79	$7.78	$10.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $16.69 / $345.40	Professional		$16.69	$16.69	$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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $10.16 / $13.55	Facility		$10.16	$10.16	$13.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $11.10 / $16.80	Professional		$8.44	$11.10	$16.80