Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $10,216.95 / $13,180.78	Facility		$8,563.78	$10,216.95	$13,180.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $321.36 / $343.14	Professional		$278.10	$321.36	$343.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $2,029.84	Professional		$120.00	$345.40	$2,029.84
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.39 / $1,244.75 / $2,058.00	Professional		$851.39	$1,244.75	$2,058.00