Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $179.62 / $816.00	Professional		$162.06	$179.62	$816.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $150.22 / $216.79 / $790.29	Professional	54	$150.22	$216.79	$790.29
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 $313.89 / $313.89 / $333.88	Professional		$313.89	$313.89	$333.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.89 / $313.89 / $313.89	Facility		$313.89	$313.89	$313.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $282.51 / $332.96	Professional		$153.38	$282.51	$332.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.36 / $201.32 / $313.89	Facility		$156.36	$201.32	$313.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $305.19 / $426.94	Professional		$194.75	$305.19	$426.94
Providence Facility/Professional Professional Modifier 54 Low / Median / High Price $299.89 / $304.62 / $432.72	Professional	54	$299.89	$304.62	$432.72
United Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $316.95 / $362.24	Professional		$268.45	$316.95	$362.24