Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.58 / $523.58 / $523.58	Facility		$523.58	$523.58	$523.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,030.76 / $1,030.76 / $2,176.53	Facility	50	$1,030.76	$1,030.76	$2,176.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $100.34 / $593.45	Professional		$69.98	$100.34	$593.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $148.46 / $489.03 / $1,619.26	Professional	50	$148.46	$489.03	$1,619.26
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 $70.61 / $91.38 / $119.36	Professional		$70.61	$91.38	$119.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.08 / $83.08 / $83.08	Facility		$83.08	$83.08	$83.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $101.46 / $167.62	Professional		$57.36	$101.46	$167.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $73.27 / $148.11	Facility		$41.02	$73.27	$148.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $105.92 / $161.50	Professional		$69.73	$105.92	$161.50
United Facility/Professional Facility Modifier Low / Median / High Price $92.63 / $92.63 / $92.63	Facility		$92.63	$92.63	$92.63
United Facility/Professional Professional Modifier Low / Median / High Price $105.58 / $124.21 / $169.75	Professional		$105.58	$124.21	$169.75