Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $12,302.69 / $23,988.33	Facility		$4,570.88	$12,302.69	$23,988.33
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 $831.76 / $15,135.61 / $26,302.68	Professional		$831.76	$15,135.61	$26,302.68
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 $831.76 / $933.25 / $14,125.38	Professional		$831.76	$933.25	$14,125.38
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 $6,918.31 / $16,982.44 / $16,982.44	Facility		$6,918.31	$16,982.44	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $11,481.54 / $23,988.33	Professional		$870.96	$11,481.54	$23,988.33