Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $15,135.61	Facility		$2,630.27	$4,265.80	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $3,162.28	Professional		$1,778.28	$2,570.40	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $3,162.28	Professional		$1,862.09	$2,630.27	$3,162.28
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 $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,659.59	Professional		$1,174.90	$1,174.90	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $2,691.53	Facility		$1,096.48	$1,778.28	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,659.59	Professional		$741.31	$1,096.48	$1,659.59