Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $616.60	Professional		$181.97	$323.59	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $281.84	Professional		$251.19	$263.03	$281.84
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 $147.91 / $295.12 / $467.74	Professional		$147.91	$295.12	$467.74