Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $95,499.26	Facility		$100.00	$199.53	$95,499.26
Molina Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,128.31 / $8,912.51	Facility		$6,165.95	$8,128.31	$8,912.51