Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.43 / $6,923.06 / $20,238.24	Facility		$812.43	$6,923.06	$20,238.24
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,505.00 / $4,505.00 / $4,505.00	Facility	22	$4,505.00	$4,505.00	$4,505.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,472.50 / $9,921.00 / $15,320.00	Facility	50	$6,472.50	$9,921.00	$15,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.89 / $559.13 / $1,586.60	Professional		$361.89	$559.13	$1,586.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $535.72 / $655.21	Professional		$85.71	$535.72	$655.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,976.78 / $7,102.40 / $10,460.78	Facility		$2,976.78	$7,102.40	$10,460.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.20 / $634.38 / $784.75	Professional		$532.20	$634.38	$784.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $965.00 / $12,628.00	Facility		$579.00	$965.00	$12,628.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.91 / $48.91 / $48.91	Facility	AS	$48.91	$48.91	$48.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.19 / $630.94 / $930.70	Professional		$435.19	$630.94	$930.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $475.43 / $734.76 / $2,220.14	Professional		$475.43	$734.76	$2,220.14
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 $501.64 / $561.87 / $630.94	Professional		$501.64	$561.87	$630.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $713.45	Professional		$32.34	$32.34	$713.45
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 $423.24 / $581.20 / $1,012.19	Professional		$423.24	$581.20	$1,012.19