Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.51 / $434.51 / $434.51	Facility		$434.51	$434.51	$434.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $266.19 / $1,395.00	Professional		$240.12	$266.19	$1,395.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $258.43 / $367.57 / $1,330.11	Professional	54	$258.43	$367.57	$1,330.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $535.26 / $559.45	Professional		$535.26	$535.26	$559.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.26 / $535.26 / $535.26	Facility		$535.26	$535.26	$535.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.72 / $475.53 / $552.20	Professional		$248.72	$475.53	$552.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.01 / $333.76 / $513.59	Facility		$267.01	$333.76	$513.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.65 / $520.54 / $718.44	Professional		$328.65	$520.54	$718.44
Providence Facility/Professional Professional Modifier 54 Low / Median / High Price $497.38 / $515.62 / $732.46	Professional	54	$497.38	$515.62	$732.46
United Facility/Professional Professional Modifier Low / Median / High Price $414.12 / $532.55 / $608.63	Professional		$414.12	$532.55	$608.63