Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.42 / $623.77 / $974.82	Professional		$394.42	$623.77	$974.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.44 / $702.07 / $1,032.01	Professional		$455.44	$702.07	$1,032.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.78 / $650.55 / $1,054.28	Professional		$408.78	$650.55	$1,054.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $408.78 / $815.85 / $2,220.27	Professional		$408.78	$815.85	$2,220.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $471.24 / $483.11 / $783.24	Professional		$471.24	$483.11	$783.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $885.66	Professional		$32.34	$32.34	$885.66
United Facility/Professional Professional Modifier Low / Median / High Price $524.66 / $711.97 / $1,201.50	Professional		$524.66	$711.97	$1,201.50