Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $4,842.00 / $10,832.40	Facility		$813.00	$4,842.00	$10,832.40
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $0.23 / $0.23 / $0.23	Facility	22	$0.23	$0.23	$0.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.99 / $763.66 / $1,500.61	Professional		$574.99	$763.66	$1,500.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $909.00 / $909.00 / $909.00	Professional		$909.00	$909.00	$909.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,648.54 / $5,916.12 / $15,738.84	Facility		$1,648.54	$5,916.12	$15,738.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.52 / $1,138.22 / $1,222.18	Professional		$789.52	$1,138.22	$1,222.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.63 / $942.24 / $1,315.39	Professional		$520.63	$942.24	$1,315.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $663.20 / $1,046.94 / $2,688.57	Professional		$663.20	$1,046.94	$2,688.57
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 $799.12 / $821.11 / $907.35	Professional		$799.12	$821.11	$907.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,046.94	Professional		$32.34	$32.34	$1,046.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.44 / $884.08 / $1,485.56	Professional		$615.44	$884.08	$1,485.56