Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,846.11 / $8,846.11 / $8,846.11	Facility	50	$8,846.11	$8,846.11	$8,846.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.94 / $555.61 / $3,272.81	Professional		$472.94	$555.61	$3,272.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $709.43 / $785.09 / $1,663.88	Professional	50	$709.43	$785.09	$1,663.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.62 / $868.62 / $983.25	Professional		$868.62	$868.62	$983.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.62 / $868.62 / $868.62	Facility		$868.62	$868.62	$868.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.42 / $896.86 / $999.29	Professional		$701.42	$896.86	$999.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.25 / $639.16 / $1,251.85	Facility		$486.25	$639.16	$1,251.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $591.03 / $869.19 / $1,185.28	Professional		$591.03	$869.19	$1,185.28
United Facility/Professional Professional Modifier Low / Median / High Price $911.08 / $1,028.96 / $1,120.96	Professional		$911.08	$1,028.96	$1,120.96