Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.42 / $644.00 / $5,400.00	Professional		$577.42	$644.00	$5,400.00
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $151.36 / $626.05 / $626.05	Professional	55	$151.36	$626.05	$626.05
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 $1,290.31 / $1,290.31 / $1,290.31	Professional		$1,290.31	$1,290.31	$1,290.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,290.31 / $1,290.31 / $1,290.31	Facility		$1,290.31	$1,290.31	$1,290.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.02 / $766.38 / $1,290.31	Professional		$762.02	$766.38	$1,290.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $770.48 / $913.90 / $1,290.31	Facility		$770.48	$913.90	$1,290.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $778.19 / $1,110.00 / $1,534.90	Professional		$778.19	$1,110.00	$1,534.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $1,450.00 / $1,450.00	Facility		$1,450.00	$1,450.00	$1,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.28 / $1,288.18 / $1,488.07	Professional		$1,053.28	$1,288.18	$1,488.07