Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $457.09	Facility		$181.97	$269.15	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$346.74
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 $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81