Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $3,311.31	Professional		$398.11	$1,819.70	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,412.54 / $2,630.27	Professional		$512.86	$1,412.54	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,174.90 / $3,890.45	Professional		$446.68	$1,174.90	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $3,311.31 / $6,456.54	Professional		$588.84	$3,311.31	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $2,454.71	Professional		$457.09	$537.03	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,862.09 / $4,073.80	Professional		$467.74	$1,862.09	$4,073.80