Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,220.81 / $13,205.99 / $17,061.75	Facility		$9,220.81	$13,205.99	$17,061.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $817.16 / $1,245.20 / $2,157.64	Professional		$817.16	$1,245.20	$2,157.64
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $958.30 / $1,011.73 / $1,106.99	Professional		$958.30	$1,011.73	$1,106.99
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 $809.76 / $1,266.64 / $2,082.40	Professional		$809.76	$1,266.64	$2,082.40