Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $5,412.74 / $17,956.14	Facility		$1,272.00	$5,412.74	$17,956.14
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,110.00 / $2,110.00 / $13,354.20	Facility	22	$2,110.00	$2,110.00	$13,354.20
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $20,117.36 / $20,117.36 / $20,117.36	Facility	80	$20,117.36	$20,117.36	$20,117.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.51 / $1,334.21 / $4,048.14	Professional		$931.51	$1,334.21	$4,048.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $649.65 / $1,073.33 / $2,302.16	Professional		$649.65	$1,073.33	$2,302.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,421.88 / $24,861.11	Facility		$8,538.45	$12,421.88	$24,861.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,303.69 / $1,735.42 / $2,200.34	Professional		$1,303.69	$1,735.42	$2,200.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $6,831.39 / $13,592.00	Facility		$996.00	$6,831.39	$13,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.58 / $1,543.17 / $2,247.59	Professional		$1,055.58	$1,543.17	$2,247.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.09 / $1,834.37 / $5,781.17	Professional		$1,222.09	$1,834.37	$5,781.17
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 $1,255.09 / $1,362.67 / $1,513.07	Professional		$1,255.09	$1,362.67	$1,513.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,710.93	Professional		$32.34	$32.34	$1,710.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.29 / $1,357.99 / $2,345.63	Professional		$1,026.29	$1,357.99	$2,345.63