Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $5,495.41	Facility		$1,621.81	$2,511.89	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,659.59	Professional		$831.76	$1,000.00	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20