Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Professional		$83.00	$83.00	$83.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $61.93 / $100.00	Professional		$45.32	$61.93	$100.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Professional		$1.17	$1.17	$1.17
United Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $0.97 / $0.97	Professional		$0.97	$0.97	$0.97