Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $4,073.80	Facility		$1,905.46	$2,137.96	$4,073.80
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $95,499.26	Facility		$100.00	$199.53	$95,499.26
Molina Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,128.31 / $8,912.51	Facility		$6,606.93	$8,128.31	$8,912.51