Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$200.00	$345.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,500.00 / $2,500.00	Professional		$30.00	$2,500.00	$2,500.00