Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $208.93 / $812.83	Facility		$120.23	$208.93	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $85.11	Professional		$67.61	$70.79	$85.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $204.17	Professional		$93.33	$158.49	$204.17
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 $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $85.11	Facility		$72.44	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $81.28	Professional		$72.44	$77.62	$81.28