Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.05 / $2,431.69 / $5,416.43	Facility		$733.05	$2,431.69	$5,416.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.30 / $430.15 / $1,955.00	Professional		$224.30	$430.15	$1,955.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.85 / $199.77 / $1,007.52	Professional	52	$98.85	$199.77	$1,007.52
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.45 / $78.64 / $456.92	Professional	53	$38.45	$78.64	$456.92
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 $311.27 / $311.27 / $683.01	Professional		$311.27	$311.27	$683.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.27 / $311.27 / $311.27	Facility		$311.27	$311.27	$311.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.66 / $459.71 / $979.10	Professional		$251.66	$459.71	$979.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.66 / $432.51 / $867.11	Facility		$201.66	$432.51	$867.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $526.52 / $1,100.90	Professional		$280.14	$526.52	$1,100.90
United Facility/Professional Professional Modifier Low / Median / High Price $570.11 / $732.06 / $875.54	Professional		$570.11	$732.06	$875.54