Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,953.91 / $4,953.91 / $21,463.52	Facility		$4,953.91	$4,953.91	$21,463.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.66 / $1,128.96 / $1,940.47	Professional		$202.66	$1,128.96	$1,940.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $130.34 / $624.12 / $3,534.18	Professional	52	$130.34	$624.12	$3,534.18
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 $367.53 / $367.53 / $367.53	Professional		$367.53	$367.53	$367.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.53 / $367.53 / $367.53	Facility		$367.53	$367.53	$367.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $367.53 / $1,868.17	Professional		$279.83	$367.53	$1,868.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.53 / $367.53 / $367.53	Facility		$367.53	$367.53	$367.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.65 / $1,152.09 / $2,283.80	Professional		$244.65	$1,152.09	$2,283.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,754.92 / $2,202.23 / $3,359.59	Professional		$1,754.92	$2,202.23	$3,359.59