Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.61 / $1,030.61 / $1,030.61	Facility		$1,030.61	$1,030.61	$1,030.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,004.86 / $1,004.86 / $1,132.06	Facility	50	$1,004.86	$1,004.86	$1,132.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $85.93 / $407.00	Professional		$49.64	$85.93	$407.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $129.26 / $142.82 / $395.44	Professional	50	$129.26	$142.82	$395.44
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 $80.97 / $80.97 / $143.54	Professional		$80.97	$80.97	$143.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.97 / $80.97 / $80.97	Facility		$80.97	$80.97	$80.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $88.46 / $143.62	Professional		$56.68	$88.46	$143.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $69.56 / $95.66	Facility		$39.54	$69.56	$95.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $105.19 / $173.60	Professional		$67.81	$105.19	$173.60
United Facility/Professional Professional Modifier Low / Median / High Price $118.91 / $143.63 / $161.93	Professional		$118.91	$143.63	$161.93