Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,967.38 / $6,967.38 / $6,967.38	Facility	50	$6,967.38	$6,967.38	$6,967.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,435.98 / $1,827.03	Professional		$284.02	$1,435.98	$1,827.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $480.04 / $480.04 / $480.04	Professional	50	$480.04	$480.04	$480.04
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 $507.40 / $507.40 / $2,478.62	Professional		$507.40	$507.40	$2,478.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.40 / $507.40 / $507.40	Facility		$507.40	$507.40	$507.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.91 / $1,323.33 / $2,538.42	Professional		$371.91	$1,323.33	$2,538.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.24 / $507.40 / $2,265.14	Facility		$355.24	$507.40	$2,265.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.10 / $1,631.93 / $3,446.73	Professional		$435.10	$1,631.93	$3,446.73
United Facility/Professional Professional Modifier Low / Median / High Price $2,231.25 / $2,581.25 / $4,309.56	Professional		$2,231.25	$2,581.25	$4,309.56