Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.76 / $698.72 / $1,477.63	Professional		$491.76	$698.72	$1,477.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $899.14 / $899.14 / $899.14	Professional	50	$899.14	$899.14	$899.14
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 $514.23 / $514.23 / $931.30	Professional		$514.23	$514.23	$931.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.23 / $514.23 / $514.23	Facility		$514.23	$514.23	$514.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.23 / $641.49 / $776.08	Professional		$514.23	$641.49	$776.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $514.23 / $1,027.65 / $1,486.38	Facility		$514.23	$1,027.65	$1,486.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.09 / $588.40 / $1,045.48	Professional		$342.09	$588.40	$1,045.48
United Facility/Professional Professional Modifier Low / Median / High Price $770.64 / $918.85 / $1,373.61	Professional		$770.64	$918.85	$1,373.61