Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $2,187.76	Facility		$660.69	$1,122.02	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $588.84 / $794.33	Facility		$263.03	$588.84	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $512.86	Professional		$257.04	$309.03	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $512.86 / $1,122.02	Professional		$181.97	$512.86	$1,122.02
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 $190.55 / $190.55 / $208.93	Professional		$190.55	$190.55	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $4,466.84 / $4,466.84	Facility		$77.62	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $588.84	Professional		$165.96	$245.47	$588.84