Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.35 / $1,598.04 / $2,492.88	Facility		$595.35	$1,598.04	$2,492.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $376.38 / $1,620.81	Professional		$120.15	$376.38	$1,620.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $1,702.12 / $1,702.12	Professional	50	$171.84	$1,702.12	$1,702.12
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 $204.54 / $204.54 / $419.59	Professional		$204.54	$204.54	$419.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.54 / $204.54 / $204.54	Facility		$204.54	$204.54	$204.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $221.58 / $419.59	Professional		$111.17	$221.58	$419.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.32 / $204.54 / $415.78	Facility		$101.32	$204.54	$415.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $280.39 / $504.00	Professional		$173.86	$280.39	$504.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.15 / $419.92 / $463.36	Professional		$356.15	$419.92	$463.36