Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.41 / $5,172.00 / $11,500.70	Facility		$543.41	$5,172.00	$11,500.70
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $12,449.05 / $12,449.05 / $12,449.05	Facility	22	$12,449.05	$12,449.05	$12,449.05
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $115.31 / $638.87 / $1,182.05	Facility	52	$115.31	$638.87	$1,182.05
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.12 / $255.55 / $472.82	Facility	53	$46.12	$255.55	$472.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.89 / $430.33 / $2,021.42	Professional		$217.89	$430.33	$2,021.42
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $40.79 / $91.62 / $351.58	Professional	53	$40.79	$91.62	$351.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.03 / $337.96 / $1,695.10	Professional		$205.03	$337.96	$1,695.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.98 / $4,209.30 / $6,164.80	Facility		$2,284.98	$4,209.30	$6,164.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.41 / $574.34 / $2,424.56	Professional		$280.41	$574.34	$2,424.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $7,366.00 / $8,072.00	Facility		$709.00	$7,366.00	$8,072.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.37 / $528.76 / $2,096.90	Professional		$275.37	$528.76	$2,096.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $329.69 / $1,589.06 / $3,288.72	Professional		$329.69	$1,589.06	$3,288.72
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 $268.14 / $295.58 / $1,632.32	Professional		$268.14	$295.58	$1,632.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,883.45	Professional		$32.34	$32.34	$1,883.45
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.45 / $1,500.59 / $2,911.14	Professional		$384.45	$1,500.59	$2,911.14