Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $5,370.32	Facility		$1,174.90	$2,041.74	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $3,019.95	Professional		$467.74	$851.14	$3,019.95
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 $549.54 / $575.44 / $616.60	Professional		$549.54	$575.44	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $478.63 / $478.63	Facility		$467.74	$478.63	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $645.65	Professional		$363.08	$457.09	$645.65