Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,818.38 / $7,762.47	Facility		$478.63	$2,818.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,202.26 / $2,454.71	Professional		$309.03	$1,202.26	$2,454.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $1,548.82 / $3,090.30	Professional	50	$316.23	$1,548.82	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	50	$478.63	$478.63	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,481.54 / $18,620.87	Facility		$5,248.07	$11,481.54	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,412.54 / $2,398.83	Professional		$407.38	$1,412.54	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $2,570.40	Professional		$363.08	$602.56	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,137.96	Professional		$32.36	$33.11	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,659.59 / $3,311.31	Facility		$371.54	$1,659.59	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $851.14 / $3,235.94	Professional		$363.08	$851.14	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $23,988.33	Facility		$1,023.29	$15,135.61	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,513.56 / $2,951.21	Professional		$407.38	$1,513.56	$2,951.21