Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $1,764.00 / $1,764.00	Facility		$1,764.00	$1,764.00	$1,764.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,646.00 / $2,646.00 / $2,646.00	Facility	50	$2,646.00	$2,646.00	$2,646.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.27 / $282.44 / $432.43	Professional		$166.27	$282.44	$432.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $465.81 / $652.14 / $1,243.51	Professional	50	$465.81	$652.14	$1,243.51
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 $251.86 / $251.86 / $406.97	Professional		$251.86	$251.86	$406.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.86 / $251.86 / $251.86	Facility		$251.86	$251.86	$251.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.86 / $270.05 / $428.93	Professional		$251.86	$270.05	$428.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.96 / $545.35 / $603.41	Facility		$155.96	$545.35	$603.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.03 / $267.43 / $428.93	Professional		$164.03	$267.43	$428.93
United Facility/Professional Professional Modifier Low / Median / High Price $374.93 / $447.03 / $714.10	Professional		$374.93	$447.03	$714.10