Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,041.74 / $28,183.83	Facility		$676.08	$2,041.74	$28,183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $457.09	Professional		$363.08	$380.19	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $562.34	Professional		$120.23	$346.74	$562.34
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 $3,630.78 / $4,897.79 / $4,897.79	Facility		$3,630.78	$4,897.79	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,754.23	Professional		$2,511.89	$2,630.27	$2,754.23