Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.70 / $169.82	Professional		$1.23	$1.70	$169.82
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 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $87.10	Facility		$66.07	$66.07	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $117.49	Professional		$66.07	$66.07	$117.49