Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $135.00	Facility		$5.00	$5.00	$135.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.83 / $345.40	Facility		$100.00	$165.83	$345.40