Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $9.12 / $22.39	Facility		$4.07	$9.12	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.00	Professional		$1.00	$2.00	$2.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $151.36	Professional		$20.89	$28.18	$151.36
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 $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00