Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.05 / $446.54 / $2,466.90	Facility		$227.05	$446.54	$2,466.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,466.26 / $1,466.26 / $1,466.26	Facility	50	$1,466.26	$1,466.26	$1,466.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $141.81 / $324.45	Professional		$46.43	$141.81	$324.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $77.29 / $255.01	Professional		$77.29	$77.29	$255.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $159.69 / $308.02	Facility		$77.29	$159.69	$308.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $134.87 / $269.64	Professional		$51.68	$134.87	$269.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.08 / $159.69 / $283.35	Facility		$57.08	$159.69	$283.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $164.01 / $367.58	Professional		$66.91	$164.01	$367.58
United Facility/Professional Professional Modifier Low / Median / High Price $196.62 / $244.85 / $278.39	Professional		$196.62	$244.85	$278.39