Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.92 / $1,143.72 / $2,213.82	Professional		$1,047.92	$1,143.72	$2,213.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,355.04 / $1,873.70 / $1,996.73	Professional		$1,355.04	$1,873.70	$1,996.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.69 / $1,633.14 / $2,554.00	Professional		$1,153.69	$1,633.14	$2,554.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.36 / $1,947.82 / $5,056.28	Professional		$1,270.36	$1,947.82	$5,056.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.23 / $1,446.95 / $1,572.66	Professional		$1,376.23	$1,446.95	$1,572.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,778.32	Professional		$32.34	$32.34	$1,778.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.76 / $1,541.20 / $2,718.64	Professional		$1,126.76	$1,541.20	$2,718.64