Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $16,218.10	Facility		$2,818.38	$4,570.88	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $3,467.37	Professional		$1,905.46	$2,754.23	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,090.30	Professional		$1,995.26	$2,454.71	$3,090.30
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 $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,778.28	Professional		$1,258.93	$1,258.93	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $2,884.03	Facility		$1,174.90	$1,905.46	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,778.28	Professional		$794.33	$1,174.90	$1,778.28