Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.15 / $1,164.15 / $1,348.39	Facility		$1,164.15	$1,164.15	$1,348.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $93.28 / $5,721.86	Professional		$57.53	$93.28	$5,721.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.64 / $87.28 / $452.01	Professional	50	$82.64	$87.28	$452.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $92.54 / $153.53	Professional		$92.54	$92.54	$153.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $92.54 / $92.54	Facility		$92.54	$92.54	$92.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $101.27 / $155.34	Professional		$65.15	$101.27	$155.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.98 / $75.73 / $104.15	Facility		$45.98	$75.73	$104.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $116.53 / $187.00	Professional		$77.73	$116.53	$187.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $154.33 / $174.07	Professional		$129.03	$154.33	$174.07