Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $630.96	Professional		$107.15	$190.55	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $158.49	Professional		$141.25	$147.91	$158.49
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 $112.20 / $162.18 / $251.19	Professional		$112.20	$162.18	$251.19