Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $122.00 / $122.00	Facility		$122.00	$122.00	$122.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00