Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $758.58 / $3,019.95	Facility		$436.52	$758.58	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $2,137.96	Professional		$120.23	$346.74	$2,137.96
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 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $223.87	Professional		$213.80	$213.80	$223.87