Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.50 / $850.50 / $850.50	Facility		$850.50	$850.50	$850.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $789.54 / $1,036.70	Professional		$163.36	$789.54	$1,036.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $876.25 / $1,144.56 / $1,287.27	Professional	50	$876.25	$1,144.56	$1,287.27
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 $266.58 / $266.58 / $1,549.64	Professional		$266.58	$266.58	$1,549.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.58 / $266.58 / $266.58	Facility		$266.58	$266.58	$266.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.66 / $266.58 / $1,291.35	Professional		$207.66	$266.58	$1,291.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.58 / $1,520.35 / $1,676.76	Facility		$266.58	$1,520.35	$1,676.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.35 / $795.02 / $1,579.55	Professional		$177.35	$795.02	$1,579.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,192.89 / $1,496.96 / $2,323.61	Professional		$1,192.89	$1,496.96	$2,323.61