Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.47 / $2,729.35 / $7,931.58	Facility		$427.47	$2,729.35	$7,931.58
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,883.40 / $5,883.40 / $5,883.40	Facility	22	$5,883.40	$5,883.40	$5,883.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $127.45 / $244.43 / $500.19	Facility	52	$127.45	$244.43	$500.19
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.98 / $97.77 / $154.08	Facility	53	$50.98	$97.77	$154.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.85 / $427.78 / $888.08	Professional		$246.85	$427.78	$888.08
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $49.49 / $85.29 / $152.96	Professional	53	$49.49	$85.29	$152.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $257.72 / $426.38	Professional		$190.81	$257.72	$426.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,409.27 / $2,286.12 / $6,896.85	Facility		$1,409.27	$2,286.12	$6,896.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.94 / $497.31 / $884.54	Professional		$284.94	$497.31	$884.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,200.00 / $2,769.00	Facility		$400.00	$1,200.00	$2,769.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.58 / $501.92 / $876.01	Professional		$290.58	$501.92	$876.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $340.27 / $648.78 / $1,577.06	Professional		$340.27	$648.78	$1,577.06
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 $295.74 / $315.97 / $599.38	Professional		$295.74	$315.97	$599.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $677.76	Professional		$32.34	$32.34	$677.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,465.00 / $4,342.00	Facility		$1,000.00	$2,465.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.47 / $647.97 / $1,100.17	Professional		$443.47	$647.97	$1,100.17