Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,165.95 / $17,782.79	Facility		$1,412.54	$6,165.95	$17,782.79
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,089.30 / $13,489.63 / $13,489.63	Facility	22	$2,089.30	$13,489.63	$13,489.63
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $19,952.62 / $19,952.62 / $19,952.62	Facility	80	$19,952.62	$19,952.62	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,698.24 / $5,623.41	Professional		$933.25	$1,698.24	$5,623.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $954.99 / $1,288.25	Professional		$138.04	$954.99	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,964.78 / $23,442.29	Facility		$8,912.51	$10,964.78	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,187.76	Professional		$1,318.26	$1,737.80	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $12,302.69 / $13,489.63	Facility		$4,786.30	$12,302.69	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,238.72	Professional		$1,023.29	$1,513.56	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $6,918.31	Professional		$1,148.15	$1,862.09	$6,918.31
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 $1,258.93 / $1,348.96 / $1,513.56	Professional		$1,258.93	$1,348.96	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,456.54 / $16,982.44	Facility		$2,570.40	$6,456.54	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,238.72	Professional		$977.24	$1,318.26	$2,238.72