Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,022.64 / $22,908.68	Facility		$4,466.84	$12,022.64	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $8,912.51 / $14,791.08	Professional		$794.33	$8,912.51	$14,791.08
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $10,964.78	Professional		$758.58	$891.25	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $16,982.44 / $16,982.44	Facility		$5,888.44	$16,982.44	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $8,317.64 / $16,982.44	Professional		$812.83	$8,317.64	$16,982.44