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 / $1,164.15	Facility		$1,164.15	$1,164.15	$1,164.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $94.12 / $1,068.85	Professional		$58.07	$94.12	$1,068.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $132.35 / $211.29 / $457.57	Professional	50	$132.35	$211.29	$457.57
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 $80.00 / $94.12 / $154.06	Professional		$80.00	$94.12	$154.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.12 / $94.12 / $94.12	Facility		$94.12	$94.12	$94.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $102.43 / $156.52	Professional		$66.33	$102.43	$156.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $75.50 / $103.81	Facility		$46.25	$75.50	$103.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $116.93 / $188.30	Professional		$79.04	$116.93	$188.30
United Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $156.19 / $175.37	Professional		$130.55	$156.19	$175.37