Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Professional		$6.00	$6.00	$6.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $125.00 / $345.40	Professional		$6.42	$125.00	$345.40
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.17 / $4.42	Professional		$3.67	$4.17	$4.42