Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.40 / $1,454.40 / $2,737.50	Facility		$942.40	$1,454.40	$2,737.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $643.16 / $1,734.84 / $4,534.58	Facility	50	$643.16	$1,734.84	$4,534.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $461.46 / $2,291.40	Professional		$95.09	$461.46	$2,291.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.00 / $356.70 / $2,073.25	Professional	50	$156.00	$356.70	$2,073.25
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $21.47 / $70.23 / $254.49	Professional	53	$21.47	$70.23	$254.49
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 $174.57 / $174.57 / $389.09	Professional		$174.57	$174.57	$389.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.57 / $174.57 / $174.57	Facility		$174.57	$174.57	$174.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $189.15 / $389.09	Professional		$97.79	$189.15	$389.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.08 / $174.57 / $416.58	Facility		$86.08	$174.57	$416.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $241.91 / $468.72	Professional		$148.38	$241.91	$468.72
United Facility/Professional Professional Modifier Low / Median / High Price $331.77 / $397.07 / $444.17	Professional		$331.77	$397.07	$444.17