Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,280.94 / $3,777.20 / $4,666.70	Facility		$2,280.94	$3,777.20	$4,666.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,704.42 / $6,704.42 / $6,704.42	Facility	50	$6,704.42	$6,704.42	$6,704.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.88 / $852.43 / $4,737.60	Professional		$391.88	$852.43	$4,737.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,268.48 / $5,876.70 / $5,876.70	Professional	50	$1,268.48	$5,876.70	$5,876.70
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 $702.99 / $715.61 / $1,288.09	Professional		$702.99	$715.61	$1,288.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.99 / $702.99 / $702.99	Facility		$702.99	$702.99	$702.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.62 / $632.69 / $719.27	Professional		$356.62	$632.69	$719.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.52 / $451.95 / $702.99	Facility		$348.52	$451.95	$702.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.45 / $699.34 / $969.02	Professional		$423.45	$699.34	$969.02
United Facility/Professional Professional Modifier Low / Median / High Price $574.94 / $702.23 / $827.63	Professional		$574.94	$702.23	$827.63