Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $249.53 / $769.31	Professional		$137.06	$249.53	$769.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,341.86 / $2,341.86 / $2,341.86	Professional	50	$2,341.86	$2,341.86	$2,341.86
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 $233.98 / $233.98 / $233.98	Professional		$233.98	$233.98	$233.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.98 / $233.98 / $233.98	Facility		$233.98	$233.98	$233.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.98 / $233.98 / $454.82	Professional		$233.98	$233.98	$454.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.47 / $221.31 / $276.64	Facility		$115.47	$221.31	$276.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.12 / $300.73 / $462.63	Professional		$152.12	$300.73	$462.63
United Facility/Professional Professional Modifier Low / Median / High Price $399.10 / $484.84 / $801.97	Professional		$399.10	$484.84	$801.97