Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,663.50	Professional		$1,663.50	$1,663.50	$1,663.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.56 / $293.56 / $293.56	Professional		$293.56	$293.56	$293.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,735.28 / $3,915.00 / $4,893.75	Professional		$2,735.28	$3,915.00	$4,893.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $200.00	Professional		$100.00	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,330.80 / $1,565.64 / $3,762.02	Professional		$1,330.80	$1,565.64	$3,762.02