Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $346.74	Professional		$120.23	$346.74	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.12 / $34.67	Professional		$10.00	$25.12	$34.67