Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $4,073.80	Facility		$1,905.46	$2,137.96	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Facility		$100.00	$199.53	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $616.60 / $831.76	Facility		$489.78	$616.60	$831.76