Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,314.00 / $12,367.16 / $21,526.24	Facility		$7,314.00	$12,367.16	$21,526.24
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $973.01 / $973.01 / $973.01	Facility	54	$973.01	$973.01	$973.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.59 / $1,317.95 / $5,265.00	Professional		$1,166.59	$1,317.95	$5,265.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $35.40 / $748.27 / $1,075.73	Professional	AS	$35.40	$748.27	$1,075.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $1,225.26 / $1,239.11	Professional		$196.48	$1,225.26	$1,239.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,851.06 / $63,496.24 / $95,919.72	Facility		$17,851.06	$63,496.24	$95,919.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.96 / $1,559.95 / $2,370.02	Professional		$1,298.96	$1,559.95	$2,370.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.38 / $2,057.19 / $2,679.10	Professional		$1,354.38	$2,057.19	$2,679.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,014.35	Professional		$32.34	$32.34	$2,014.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,235.80 / $1,850.74 / $3,277.60	Facility		$1,235.80	$1,850.74	$3,277.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,399.53 / $2,166.94 / $3,155.66	Professional		$1,399.53	$2,166.94	$3,155.66
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $357.28 / $436.71 / $630.83	Professional	AS	$357.28	$436.71	$630.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,657.00 / $21,608.00 / $23,542.00	Facility		$1,657.00	$21,608.00	$23,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,518.67 / $2,038.92 / $3,176.00	Professional		$1,518.67	$2,038.92	$3,176.00