Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.29 / $809.29 / $2,805.08	Facility		$809.29	$809.29	$2,805.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,008.80 / $2,008.80 / $11,176.80	Facility	50	$2,008.80	$2,008.80	$11,176.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.41 / $2,230.00 / $7,023.60	Professional		$468.41	$2,230.00	$7,023.60
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 $824.45 / $824.45 / $824.45	Professional		$824.45	$824.45	$824.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $824.45 / $824.45 / $824.45	Facility		$824.45	$824.45	$824.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.73 / $824.45 / $852.63	Professional		$426.73	$824.45	$852.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.46 / $522.63 / $824.45	Facility		$409.46	$522.63	$824.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.72 / $819.58 / $1,064.25	Professional		$491.72	$819.58	$1,064.25
United Facility/Professional Professional Modifier Low / Median / High Price $632.96 / $822.64 / $940.16	Professional		$632.96	$822.64	$940.16