Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.10 / $435.38 / $435.38	Facility		$215.10	$435.38	$435.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $112.70 / $420.59	Professional		$87.76	$112.70	$420.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.17 / $153.90 / $257.83	Professional	52	$33.17	$153.90	$257.83
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $13.27 / $42.15 / $103.14	Professional	53	$13.27	$42.15	$103.14
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 $99.38 / $99.38 / $160.88	Professional		$99.38	$99.38	$160.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $99.38 / $99.38	Facility		$99.38	$99.38	$99.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $144.91 / $179.84	Professional		$99.38	$144.91	$179.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.99 / $191.10 / $203.67	Facility		$60.99	$191.10	$203.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $107.60 / $179.84	Professional		$65.89	$107.60	$179.84
United Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $170.53 / $283.04	Professional		$145.60	$170.53	$283.04