Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,995.26	Professional		$776.25	$1,000.00	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,041.74	Professional		$1,174.90	$1,412.54	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $2,570.40	Professional		$776.25	$912.01	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $5,754.40	Professional		$912.01	$1,621.81	$5,754.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $1,202.26	Professional		$1,071.52	$1,122.02	$1,202.26
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 $891.25 / $1,174.90 / $1,862.09	Professional		$891.25	$1,174.90	$1,862.09