Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,641.03 / $1,641.03 / $1,641.03	Facility		$1,641.03	$1,641.03	$1,641.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $89.37 / $157.24	Professional		$43.38	$89.37	$157.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.57 / $80.73 / $200.84	Professional	52	$19.57	$80.73	$200.84
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 $46.80 / $46.80 / $120.93	Professional		$46.80	$46.80	$120.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Facility		$46.80	$46.80	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $75.08 / $137.35	Professional		$46.80	$75.08	$137.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.74 / $156.00 / $162.55	Facility		$28.74	$156.00	$162.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $74.08 / $137.35	Professional		$31.55	$74.08	$137.35
United Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $134.52 / $210.89	Professional		$111.28	$134.52	$210.89