Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $830.27 / $830.27 / $830.27	Facility		$830.27	$830.27	$830.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $7.42 / $7.42	Professional		$7.42	$7.42	$7.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $314.95 / $314.95 / $314.95	Facility		$314.95	$314.95	$314.95