Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.50 / $4,807.95 / $7,838.38	Facility		$524.50	$4,807.95	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $177.01 / $177.01 / $177.01	Facility	52	$177.01	$177.01	$177.01
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.80 / $70.80 / $70.80	Facility	53	$70.80	$70.80	$70.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.37 / $472.50 / $519.75	Professional		$321.37	$472.50	$519.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.90 / $478.90 / $478.90	Professional		$478.90	$478.90	$478.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,607.67 / $4,212.64 / $45,000.00	Facility		$1,607.67	$4,212.64	$45,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.56 / $396.12 / $593.87	Professional		$328.56	$396.12	$593.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $373.67 / $1,656.16	Facility		$373.67	$373.67	$1,656.16
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.30 / $481.09 / $611.92	Professional		$328.30	$481.09	$611.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $508.35	Professional		$32.34	$32.34	$508.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $360.93 / $800.00	Facility		$308.20	$360.93	$800.00
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.33 / $581.72 / $872.44	Professional		$378.33	$581.72	$872.44
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.10 / $515.32 / $782.90	Professional		$346.10	$515.32	$782.90