Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $8,317.64 / $15,135.61	Facility		$1,122.02	$8,317.64	$15,135.61
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility	22	$5,011.87	$5,011.87	$5,011.87
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility	AS	$13,182.57	$13,182.57	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $3,019.95	Professional		$630.96	$977.24	$3,019.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $851.14	Professional		$575.44	$645.65	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $17,378.01 / $52,480.75	Facility		$4,786.30	$17,378.01	$52,480.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $977.24	Professional		$616.60	$812.83	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,388.44	Facility		$1,122.02	$1,122.02	$3,388.44
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	22	$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	52	$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	53	$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	AS	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,258.93	Professional		$676.08	$933.25	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $1,548.82	Facility		$645.65	$891.25	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,479.11	Professional		$676.08	$1,023.29	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $10,715.19 / $26,302.68	Facility		$1,023.29	$10,715.19	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,348.96	Professional		$660.69	$954.99	$1,348.96