Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,603.60 / $4,622.80 / $8,200.00	Facility		$3,603.60	$4,622.80	$8,200.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $123.28 / $160.69	Professional		$112.78	$123.28	$160.69
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00