Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.43 / $610.50 / $3,603.54	Facility		$206.43	$610.50	$3,603.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,578.00 / $1,578.00 / $1,578.00	Facility	50	$1,578.00	$1,578.00	$1,578.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $172.90 / $365.33	Professional		$62.86	$172.90	$365.33
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 $105.69 / $105.69 / $362.80	Professional		$105.69	$105.69	$362.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.69 / $217.52 / $419.58	Facility		$105.69	$217.52	$419.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $186.65 / $387.19	Professional		$71.41	$186.65	$387.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $217.52 / $363.47	Facility		$77.47	$217.52	$363.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $233.89 / $524.17	Professional		$90.74	$233.89	$524.17
United Facility/Professional Professional Modifier Low / Median / High Price $283.01 / $335.88 / $398.08	Professional		$283.01	$335.88	$398.08