Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.05 / $3,119.70 / $3,119.70	Facility		$578.05	$3,119.70	$3,119.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $760.50 / $1,559.85 / $3,584.09	Facility	50	$760.50	$1,559.85	$3,584.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $190.56 / $1,206.80	Professional		$54.79	$190.56	$1,206.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.45 / $185.01 / $458.76	Professional	50	$81.45	$185.01	$458.76
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 $91.49 / $100.64 / $378.58	Professional		$91.49	$100.64	$378.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.49 / $91.49 / $91.49	Facility		$91.49	$91.49	$91.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $100.69 / $340.72	Professional		$68.70	$100.69	$340.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.47 / $91.49 / $226.34	Facility		$45.47	$91.49	$226.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $233.42 / $466.83	Professional		$77.77	$233.42	$466.83
United Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $282.47 / $334.27	Professional		$248.38	$282.47	$334.27