Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.40 / $1,535.40 / $1,916.53	Facility		$1,535.40	$1,535.40	$1,916.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $264.30 / $404.53	Professional		$47.13	$264.30	$404.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.09 / $393.30	Professional		$73.09	$73.09	$393.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $73.09 / $73.09	Facility		$73.09	$73.09	$73.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $296.48 / $540.48	Professional		$49.64	$296.48	$540.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $296.32 / $648.95	Facility		$57.90	$296.32	$648.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $278.30 / $588.59	Professional		$64.28	$278.30	$588.59
United Facility/Professional Professional Modifier Low / Median / High Price $430.45 / $506.41 / $609.16	Professional		$430.45	$506.41	$609.16