Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.70 / $1,348.39 / $5,491.20	Facility		$425.70	$1,348.39	$5,491.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $197.18 / $2,824.20	Professional		$62.97	$197.18	$2,824.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.56 / $287.30 / $295.79	Professional	50	$93.56	$287.30	$295.79
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 $104.63 / $104.63 / $403.29	Professional		$104.63	$104.63	$403.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.63 / $104.63 / $104.63	Facility		$104.63	$104.63	$104.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $114.90 / $362.96	Professional		$79.14	$114.90	$362.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $104.63 / $241.21	Facility		$51.68	$104.63	$241.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $252.94 / $494.55	Professional		$88.94	$252.94	$494.55
United Facility/Professional Professional Modifier Low / Median / High Price $272.33 / $309.72 / $385.44	Professional		$272.33	$309.72	$385.44