Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.90 / $1,686.60 / $1,686.60	Facility	50	$0.90	$1,686.60	$1,686.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,745.00 / $5,698.36 / $5,698.36	Professional	50	$2,745.00	$5,698.36	$5,698.36
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.51 / $662.51 / $662.51	Facility		$662.51	$662.51	$662.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $662.51 / $697.65	Facility		$323.70	$662.51	$697.65