Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $1,949.84	Professional		$309.03	$457.09	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $446.68	Professional		$398.11	$416.87	$446.68
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 $371.54 / $549.54 / $851.14	Professional		$371.54	$549.54	$851.14