Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.42 / $587.47 / $1,443.60	Professional		$469.42	$587.47	$1,443.60
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $545.99 / $2,391.52 / $2,737.34	Professional	54	$545.99	$2,391.52	$2,737.34
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $109.20 / $478.30 / $547.47	Professional	55	$109.20	$478.30	$547.47
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 $943.29 / $943.29 / $1,088.41	Professional		$943.29	$943.29	$1,088.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.29 / $943.29 / $943.29	Facility		$943.29	$943.29	$943.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.63 / $686.82 / $1,116.85	Professional		$585.63	$686.82	$1,116.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.79 / $700.00 / $943.29	Facility		$542.79	$700.00	$943.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $846.36 / $1,116.85	Professional		$611.27	$846.36	$1,116.85
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.28 / $1,106.36 / $1,300.47	Professional		$966.28	$1,106.36	$1,300.47