Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $371.54	Professional		$128.82	$194.98	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $194.98	Professional		$173.78	$181.97	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $331.13	Professional		$114.82	$204.17	$331.13