Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,511.89 / $7,762.47	Facility		$524.81	$2,511.89	$7,762.47
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,344.23 / $6,165.95 / $10,715.19	Facility	22	$2,344.23	$6,165.95	$10,715.19
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	53	$5,495.41	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $977.24	Professional		$316.23	$467.74	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $380.19	Professional		$281.84	$338.84	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,981.07 / $5,623.41	Facility		$2,041.74	$3,981.07	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $575.44	Professional		$371.54	$446.68	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,511.89 / $2,754.23	Facility		$398.11	$2,511.89	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $776.25	Professional		$295.12	$446.68	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,023.29 / $2,951.21	Professional		$346.74	$1,023.29	$2,951.21
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 $389.05 / $416.87 / $446.68	Professional		$389.05	$416.87	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,290.87 / $5,128.61	Facility		$891.25	$2,290.87	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $691.83	Professional		$316.23	$446.68	$691.83