Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $177.30 / $746.00	Professional		$91.01	$177.30	$746.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $267.48 / $689.01 / $1,174.50	Professional	50	$267.48	$689.01	$1,174.50
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 $117.25 / $117.25 / $314.95	Professional		$117.25	$117.25	$314.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.25 / $117.25 / $117.25	Facility		$117.25	$117.25	$117.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $117.25 / $314.95	Professional		$114.07	$117.25	$314.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.25 / $302.89 / $328.90	Facility		$117.25	$302.89	$328.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $190.16 / $376.02	Professional		$77.45	$190.16	$376.02
United Facility/Professional Professional Modifier Low / Median / High Price $262.73 / $329.81 / $553.16	Professional		$262.73	$329.81	$553.16