Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $9,332.54 / $22,908.68	Facility		$2,137.96	$9,332.54	$22,908.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $23,442.29 / $23,442.29 / $23,442.29	Facility	50	$23,442.29	$23,442.29	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $5,754.40	Professional		$831.76	$1,412.54	$5,754.40
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $165.96 / $389.05 / $891.25	Professional	AS	$165.96	$389.05	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,096.48 / $1,230.27	Professional		$158.49	$1,096.48	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24,547.09 / $53,703.18 / $83,176.38	Facility		$24,547.09	$53,703.18	$83,176.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,511.89	Professional		$1,288.25	$1,548.82	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $4,265.80	Professional		$1,288.25	$2,089.30	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $3,311.31	Facility		$1,230.27	$2,041.74	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $2,951.21	Professional		$1,348.96	$2,187.76	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $21,379.62 / $56,234.13	Facility		$1,659.59	$21,379.62	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,884.03	Professional		$1,412.54	$2,041.74	$2,884.03