Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $288.40 / $1,122.02	Facility		$165.96	$288.40	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $104.71	Professional		$83.18	$87.10	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $346.74	Professional		$93.33	$141.25	$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 $39.81 / $39.81 / $100.00	Professional		$39.81	$39.81	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $109.65	Professional		$97.72	$104.71	$109.65