Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $139.50 / $316.94	Facility		$84.24	$139.50	$316.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $362.37 / $362.37 / $362.37	Facility	50	$362.37	$362.37	$362.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $89.15 / $379.00	Professional		$50.28	$89.15	$379.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $568.50 / $568.50 / $568.50	Professional	50	$568.50	$568.50	$568.50
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 $88.86 / $88.86 / $247.13	Professional		$88.86	$88.86	$247.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $88.86 / $88.86	Facility		$88.86	$88.86	$88.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $94.87 / $247.13	Professional		$88.86	$94.87	$247.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $174.85 / $177.10	Facility		$54.54	$174.85	$177.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $149.99 / $256.66	Professional		$58.53	$149.99	$256.66
United Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $237.23 / $377.53	Professional		$155.04	$237.23	$377.53