Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $25.56 / $29.14	Professional		$22.87	$25.56	$29.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $87.63 / $99.61	Professional		$67.26	$87.63	$99.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,500.00 / $2,500.00	Professional		$30.00	$1,500.00	$2,500.00