Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.61 / $7,838.38 / $8,226.04	Facility		$717.61	$7,838.38	$8,226.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $143.52 / $143.52 / $143.52	Facility	53	$143.52	$143.52	$143.52
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $538.21 / $538.21 / $538.21	Facility	54	$538.21	$538.21	$538.21
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $107.64 / $107.64 / $107.64	Facility	55	$107.64	$107.64	$107.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.53 / $609.66 / $1,069.22	Professional		$570.53	$609.66	$1,069.22
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $107.64 / $160.38 / $162.47	Professional	55	$107.64	$160.38	$162.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $636.69 / $636.69 / $636.69	Professional		$636.69	$636.69	$636.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,375.75 / $23,378.60 / $38,095.11	Facility		$6,375.75	$23,378.60	$38,095.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.76 / $799.57 / $1,149.09	Professional		$586.76	$799.57	$1,149.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.65 / $971.07 / $1,233.98	Professional		$523.65	$971.07	$1,233.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $955.22 / $1,026.49	Professional		$32.34	$955.22	$1,026.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $755.70 / $755.70 / $755.70	Facility		$755.70	$755.70	$755.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $523.65 / $971.07 / $1,233.98	Professional		$523.65	$971.07	$1,233.98
Providence Facility/Professional Professional Modifier 55 Low / Median / High Price $252.80 / $252.80 / $262.68	Professional	55	$252.80	$252.80	$262.68
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 $849.25 / $1,046.74 / $1,389.90	Professional		$849.25	$1,046.74	$1,389.90