Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1,298.70 / $1,298.70	Facility		$0.89	$1,298.70	$1,298.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.90 / $0.90 / $0.90	Facility	50	$0.90	$0.90	$0.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $157.00 / $1,377.00	Professional		$137.16	$157.00	$1,377.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $188.40 / $990.00 / $4,505.39	Professional	50	$188.40	$990.00	$4,505.39
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 $250.28 / $250.28 / $250.28	Professional		$250.28	$250.28	$250.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.28 / $250.28 / $250.28	Facility		$250.28	$250.28	$250.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $250.28 / $269.47	Professional		$187.93	$250.28	$269.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $284.05 / $302.97	Facility		$123.73	$284.05	$302.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.43 / $225.66 / $325.50	Professional		$150.43	$225.66	$325.50
United Facility/Professional Professional Modifier Low / Median / High Price $235.03 / $284.04 / $437.53	Professional		$235.03	$284.04	$437.53