Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Facility		$1.05	$1.05	$1.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $1.05 / $1.05	Professional		$0.90	$1.05	$1.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.68 / $125.00	Professional		$1.24	$1.68	$125.00
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
United Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $116.85	Professional		$65.40	$65.40	$116.85