Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.32	Facility		$1.00	$1.00	$1.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.32	Professional		$1.00	$1.00	$1.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $158.49	Professional		$10.00	$12.59	$158.49
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.31	Professional		$3.09	$3.09	$3.31