Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $12.94 / $16.94	Professional		$10.49	$12.94	$16.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $65.40 / $76.01	Professional		$54.33	$65.40	$76.01
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $47.00 / $50.00	Professional		$38.00	$47.00	$50.00