Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.48 / $2,128.98 / $4,063.17	Facility		$810.48	$2,128.98	$4,063.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $359.26 / $1,762.02	Professional		$183.76	$359.26	$1,762.02
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $55.93 / $122.21 / $287.17	Professional	53	$55.93	$122.21	$287.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $286.56 / $535.79	Professional		$286.56	$286.56	$535.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.56 / $286.56 / $286.56	Facility		$286.56	$286.56	$286.56
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $143.54 / $143.54 / $143.54	Facility	53	$143.54	$143.54	$143.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $388.32 / $836.97	Professional		$213.16	$388.32	$836.97
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $106.51 / $143.54 / $267.63	Professional	53	$106.51	$143.54	$267.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.43 / $374.91 / $696.99	Facility		$185.43	$374.91	$696.99
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $143.54 / $143.54 / $143.54	Facility	53	$143.54	$143.54	$143.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $485.19 / $891.78	Professional		$286.56	$485.19	$891.78
Providence Facility/Professional Professional Modifier 53 Low / Median / High Price $106.51 / $143.54 / $267.63	Professional	53	$106.51	$143.54	$267.63
United Facility/Professional Professional Modifier Low / Median / High Price $461.57 / $570.80 / $710.81	Professional		$461.57	$570.80	$710.81
United Facility/Professional Professional Modifier 53 Low / Median / High Price $422.53 / $422.53 / $422.53	Professional	53	$422.53	$422.53	$422.53