Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Facility		$0.80	$0.80	$0.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $14.46	Professional		$0.80	$0.80	$14.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$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 $38.04 / $38.04 / $38.04	Professional		$38.04	$38.04	$38.04