Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,912.51 / $25,118.86	Facility		$2,187.76	$8,912.51	$25,118.86
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $22,387.21 / $22,387.21 / $22,387.21	Facility	22	$22,387.21	$22,387.21	$22,387.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $20,417.38 / $20,417.38 / $20,417.38	Facility	50	$20,417.38	$20,417.38	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $6,760.83	Professional		$1,071.52	$2,041.74	$6,760.83
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $162.18 / $354.81 / $954.99	Professional	AS	$162.18	$354.81	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,148.15 / $1,621.81	Professional		$181.97	$1,148.15	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $18,620.87 / $28,840.32	Facility		$14,125.38	$18,620.87	$28,840.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,630.27	Professional		$1,584.89	$2,187.76	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $18,197.01 / $18,197.01	Facility		$8,511.38	$18,197.01	$18,197.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $2,884.03	Professional		$1,288.25	$1,905.46	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $9,120.11	Professional		$1,412.54	$2,238.72	$9,120.11
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $1,819.70	Professional		$1,513.56	$1,659.59	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $10,000.00 / $25,703.96	Facility		$2,570.40	$10,000.00	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,951.21	Professional		$1,258.93	$1,698.24	$2,951.21