Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,840.61 / $8,866.76 / $22,436.32	Facility		$1,840.61	$8,866.76	$22,436.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $354.48 / $627.63 / $729.72	Facility	52	$354.48	$627.63	$729.72
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.79 / $251.05 / $291.89	Facility	53	$141.79	$251.05	$291.89
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $9,424.21 / $9,424.21 / $9,424.21	Facility	80	$9,424.21	$9,424.21	$9,424.21
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $8,339.46 / $8,339.46 / $8,339.46	Facility	AS	$8,339.46	$8,339.46	$8,339.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.76 / $979.14 / $3,006.90	Professional		$632.76	$979.14	$3,006.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $580.82 / $793.58 / $972.94	Professional		$580.82	$793.58	$972.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,903.69 / $8,028.04 / $13,725.31	Facility		$3,903.69	$8,028.04	$13,725.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $723.54 / $970.78 / $1,213.20	Professional		$723.54	$970.78	$1,213.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.00 / $3,500.00 / $13,001.00	Facility		$1,230.00	$3,500.00	$13,001.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $594.13 / $594.13 / $594.13	Facility	52	$594.13	$594.13	$594.13
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $148.53 / $148.53 / $148.53	Facility	53	$148.53	$148.53	$148.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.27 / $74.27 / $74.27	Facility	AS	$74.27	$74.27	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.67 / $991.98 / $1,485.40	Professional		$651.67	$991.98	$1,485.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $729.05 / $1,130.85 / $3,858.10	Professional		$729.05	$1,130.85	$3,858.10
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 $757.22 / $859.72 / $965.51	Professional		$757.22	$859.72	$965.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,091.77	Professional		$32.34	$32.34	$1,091.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $6,920.00 / $16,667.00	Facility		$1,520.00	$6,920.00	$16,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.95 / $942.89 / $1,547.51	Professional		$668.95	$942.89	$1,547.51