Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $441.00 / $441.00	Professional		$441.00	$441.00	$441.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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 $85.70 / $85.70 / $85.70	Professional		$85.70	$85.70	$85.70
United Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $0.97 / $0.97	Professional		$0.97	$0.97	$0.97