Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.31 / $1.31	Facility		$1.31	$1.31	$1.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $1.64	Professional		$1.31	$1.31	$1.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $12.74 / $160.00	Professional		$10.09	$12.74	$160.00
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00