Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,513.56 / $3,019.95	Professional		$691.83	$1,513.56	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,659.59 / $3,090.30	Professional		$870.96	$1,659.59	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,548.82 / $2,884.03	Professional		$776.25	$1,548.82	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,238.72 / $3,311.31	Professional		$933.25	$2,238.72	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $2,137.96	Professional		$891.25	$933.25	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,737.80	Professional		$32.36	$33.11	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,548.82 / $2,884.03	Professional		$794.33	$1,548.82	$2,884.03