Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $35.02 / $45.18	Facility		$29.35	$35.02	$45.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $168.93 / $345.40	Professional		$120.00	$168.93	$345.40
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 $78.28 / $104.12 / $165.68	Professional		$78.28	$104.12	$165.68