Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.00 / $2,584.51 / $8,203.62	Facility		$354.00	$2,584.51	$8,203.62
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $11,865.46 / $11,865.46 / $11,865.46	Facility	22	$11,865.46	$11,865.46	$11,865.46
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.34 / $187.85 / $305.38	Facility	52	$69.34	$187.85	$305.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.74 / $75.14 / $122.15	Facility	53	$27.74	$75.14	$122.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $229.84 / $766.02	Professional		$71.73	$229.84	$766.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $150.33 / $305.83	Professional		$79.29	$150.33	$305.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.01 / $1,391.09 / $2,685.26	Facility		$687.01	$1,391.09	$2,685.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.07 / $330.00 / $587.11	Professional		$155.07	$330.00	$587.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $979.50 / $2,769.00	Facility		$400.00	$979.50	$2,769.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $350.33 / $664.68	Professional		$160.47	$350.33	$664.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $504.12 / $1,156.32	Professional		$186.90	$504.12	$1,156.32
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 $161.68 / $171.80 / $485.45	Professional		$161.68	$171.80	$485.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $548.92	Professional		$32.34	$32.34	$548.92
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.35 / $470.77 / $797.04	Professional		$339.35	$470.77	$797.04