Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,484.53 / $15,323.88 / $23,262.84	Facility		$7,484.53	$15,323.88	$23,262.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $23,259.04 / $23,259.04 / $23,259.04	Facility	50	$23,259.04	$23,259.04	$23,259.04
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $972.06 / $972.06 / $972.06	Facility	54	$972.06	$972.06	$972.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.14 / $1,409.17 / $3,511.00	Professional		$1,165.14	$1,409.17	$3,511.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $180.50 / $789.07 / $1,103.32	Professional	AS	$180.50	$789.07	$1,103.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,070.60 / $1,226.46 / $2,012.74	Professional		$1,070.60	$1,226.46	$2,012.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,728.84 / $54,007.73 / $81,099.99	Facility		$14,728.84	$54,007.73	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,301.35 / $1,557.49 / $2,366.29	Professional		$1,301.35	$1,557.49	$2,366.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.01 / $2,122.90 / $2,699.69	Professional		$1,354.01	$2,122.90	$2,699.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,011.81	Professional		$32.34	$32.34	$2,011.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,234.24 / $1,982.13 / $3,321.80	Facility		$1,234.24	$1,982.13	$3,321.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,397.42 / $2,274.54 / $3,152.34	Professional		$1,397.42	$2,274.54	$3,152.34
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $356.83 / $436.27 / $630.16	Professional	AS	$356.83	$436.27	$630.16
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 $1,602.69 / $2,110.08 / $3,171.96	Professional		$1,602.69	$2,110.08	$3,171.96