Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $85.70 / $85.70 / $9,357.48	Facility	50	$85.70	$85.70	$9,357.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.30 / $267.87 / $1,265.92	Professional		$235.30	$267.87	$1,265.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.00 / $1,849.31 / $17,003.32	Professional	50	$131.00	$1,849.31	$17,003.32
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 $381.21 / $381.21 / $690.38	Professional		$381.21	$381.21	$690.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.21 / $381.21 / $381.21	Facility		$381.21	$381.21	$381.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.21 / $458.03 / $690.38	Professional		$381.21	$458.03	$690.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.05 / $485.55 / $516.12	Facility		$235.05	$485.55	$516.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.26 / $458.03 / $710.67	Professional		$250.26	$458.03	$710.67
United Facility/Professional Professional Modifier Low / Median / High Price $433.40 / $695.41 / $1,222.84	Professional		$433.40	$695.41	$1,222.84