Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.80 / $302.67 / $713.00	Facility		$163.80	$302.67	$713.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $615.26 / $615.26 / $615.26	Facility	50	$615.26	$615.26	$615.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $42.36 / $170.04	Professional		$29.46	$42.36	$170.04
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 $49.95 / $49.95 / $129.87	Professional		$49.95	$49.95	$129.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $106.35 / $205.14	Facility		$49.95	$106.35	$205.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $59.78 / $192.89	Professional		$37.54	$59.78	$192.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.35 / $69.55 / $106.35	Facility		$32.35	$69.55	$106.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $86.22 / $195.13	Professional		$44.46	$86.22	$195.13
United Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $127.98 / $151.68	Professional		$62.05	$127.98	$151.68