Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $15.85	Professional		$7.94	$12.02	$15.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $74.13	Professional		$53.70	$64.57	$74.13
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 $39.81 / $2,511.89 / $2,511.89	Professional		$39.81	$2,511.89	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $50.12	Professional		$22.91	$38.02	$50.12