Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.15 / $1,105.15 / $1,517.69	Facility		$1,105.15	$1,105.15	$1,517.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $828.00 / $1,210.33 / $2,274.35	Facility	50	$828.00	$1,210.33	$2,274.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $92.97 / $1,126.80	Professional		$48.93	$92.97	$1,126.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.41 / $139.50 / $408.83	Professional	50	$73.41	$139.50	$408.83
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 $79.40 / $79.40 / $143.54	Professional		$79.40	$79.40	$143.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.40 / $79.40 / $79.40	Facility		$79.40	$79.40	$79.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $87.30 / $143.62	Professional		$55.50	$87.30	$143.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.28 / $70.33 / $96.70	Facility		$39.28	$70.33	$96.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $103.81 / $172.90	Professional		$66.48	$103.81	$172.90
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $25.87 / $27.32 / $38.82	Professional	80	$25.87	$27.32	$38.82
United Facility/Professional Professional Modifier Low / Median / High Price $118.91 / $141.68 / $163.03	Professional		$118.91	$141.68	$163.03