Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.62 / $753.62 / $753.62	Facility		$753.62	$753.62	$753.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.36 / $157.71 / $267.58	Professional		$132.36	$157.71	$267.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.04 / $704.52 / $993.59	Professional	50	$220.04	$704.52	$993.59
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 $160.88 / $189.29 / $218.73	Professional		$160.88	$189.29	$218.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.29 / $189.29 / $189.29	Facility		$189.29	$189.29	$189.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $189.29 / $218.73	Professional		$135.60	$189.29	$218.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.99 / $134.03 / $220.98	Facility		$92.99	$134.03	$220.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $195.58 / $263.89	Professional		$130.37	$195.58	$263.89
United Facility/Professional Professional Modifier Low / Median / High Price $194.82 / $225.38 / $277.02	Professional		$194.82	$225.38	$277.02