Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.69 / $7,838.38 / $8,644.27	Facility		$796.69	$7,838.38	$8,644.27
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $597.52 / $597.52 / $597.52	Facility	54	$597.52	$597.52	$597.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.69 / $934.41 / $2,293.88	Professional		$796.69	$934.41	$2,293.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $580.05 / $580.05 / $580.05	Professional		$580.05	$580.05	$580.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,371.83 / $16,030.61 / $26,121.65	Facility		$4,371.83	$16,030.61	$26,121.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.45 / $875.75 / $2,001.99	Professional		$728.45	$875.75	$2,001.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.05 / $1,201.99 / $1,665.37	Professional		$580.05	$1,201.99	$1,665.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $916.74 / $1,237.59	Professional		$32.34	$916.74	$1,237.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $686.80 / $1,250.07 / $4,500.00	Facility		$686.80	$1,250.07	$4,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.05 / $1,286.78 / $1,665.37	Professional		$580.05	$1,286.78	$1,665.37
Providence Facility/Professional Professional Modifier 55 Low / Median / High Price $281.47 / $281.47 / $356.04	Professional	55	$281.47	$281.47	$356.04
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $8,842.00 / $16,897.00	Facility		$899.00	$8,842.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.10 / $1,474.42 / $1,883.93	Professional		$1,151.10	$1,474.42	$1,883.93