Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.51 / $1,232.09 / $2,159.21	Facility		$489.51	$1,232.09	$2,159.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,199.84 / $1,674.93 / $2,439.23	Facility	50	$1,199.84	$1,674.93	$2,439.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $200.49 / $1,702.13	Professional		$64.23	$200.49	$1,702.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.61 / $292.83 / $1,530.00	Professional	50	$251.61	$292.83	$1,530.00
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 $129.87 / $129.87 / $259.22	Professional		$129.87	$129.87	$259.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.87 / $259.08 / $499.78	Facility		$129.87	$259.08	$499.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $140.84 / $265.39	Professional		$67.70	$140.84	$265.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $127.23 / $259.08	Facility		$64.61	$127.23	$259.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $170.10 / $316.94	Professional		$110.39	$170.10	$316.94
United Facility/Professional Professional Modifier Low / Median / High Price $235.11 / $267.37 / $296.95	Professional		$235.11	$267.37	$296.95