Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.53 / $244.53 / $244.53	Facility		$244.53	$244.53	$244.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $79.88 / $251.10	Professional		$47.06	$79.88	$251.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.51 / $121.36 / $180.45	Professional	52	$23.51	$121.36	$180.45
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $9.40 / $48.55 / $72.18	Professional	53	$9.40	$48.55	$72.18
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 $72.03 / $72.03 / $117.78	Professional		$72.03	$72.03	$117.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.03 / $72.03 / $72.03	Facility		$72.03	$72.03	$72.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $78.56 / $126.29	Professional		$72.03	$78.56	$126.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.53 / $132.60 / $142.31	Facility		$44.53	$132.60	$142.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $77.81 / $126.29	Professional		$46.97	$77.81	$126.29
United Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $118.32 / $207.21	Professional		$101.93	$118.32	$207.21