Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $42.66 / $165.96	Facility		$24.55	$42.66	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $120.23 / $346.74	Professional		$13.18	$120.23	$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 $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.49	Professional		$12.88	$12.88	$13.49