Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Facility		$59.00	$59.00	$59.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00