Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $58.88 / $173.78	Facility		$25.70	$58.88	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $100.00 / $346.74	Professional		$13.80	$100.00	$346.74
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 $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.72	Professional		$10.47	$10.47	$10.72