Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $7,762.47 / $19,054.61	Facility		$1,148.15	$7,762.47	$19,054.61
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility	22	$4,466.84	$4,466.84	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $9,772.37 / $21,379.62	Facility	50	$6,025.60	$9,772.37	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $691.83 / $1,659.59	Professional		$380.19	$691.83	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $416.87 / $575.44	Professional		$194.98	$416.87	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $10,471.29	Facility		$4,265.80	$7,762.47	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $776.25	Professional		$537.03	$630.96	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $10,471.29 / $12,589.25	Facility		$575.44	$10,471.29	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $954.99	Professional		$398.11	$588.84	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $2,818.38	Professional		$478.63	$831.76	$2,818.38
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 $501.19 / $562.34 / $630.96	Professional		$501.19	$562.34	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,165.95 / $15,488.17	Facility		$1,659.59	$6,165.95	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $891.25	Professional		$407.38	$537.03	$891.25