Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,189.50 / $4,189.50 / $4,189.50	Facility	50	$4,189.50	$4,189.50	$4,189.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.92 / $367.08 / $6,151.88	Professional		$357.92	$367.08	$6,151.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $546.99 / $2,529.86 / $18,651.68	Professional	50	$546.99	$2,529.86	$18,651.68
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 $506.35 / $506.35 / $506.35	Professional		$506.35	$506.35	$506.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.35 / $506.35 / $506.35	Facility		$506.35	$506.35	$506.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.03 / $506.35 / $671.05	Professional		$479.03	$506.35	$671.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.50 / $713.05 / $756.47	Facility		$249.50	$713.05	$756.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.30 / $462.49 / $671.05	Professional		$308.30	$462.49	$671.05
United Facility/Professional Professional Modifier Low / Median / High Price $484.11 / $590.05 / $889.84	Professional		$484.11	$590.05	$889.84