Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $290.12 / $1,249.38	Professional		$227.86	$290.12	$1,249.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $269.81 / $442.29 / $742.89	Professional	50	$269.81	$442.29	$742.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $214.52 / $937.04 / $1,200.02	Professional	54	$214.52	$937.04	$1,200.02
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $42.90 / $187.41 / $240.00	Professional	55	$42.90	$187.41	$240.00
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 $369.64 / $369.64 / $469.54	Professional		$369.64	$369.64	$469.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.64 / $369.64 / $369.64	Facility		$369.64	$369.64	$369.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $388.19 / $486.55	Professional		$237.75	$388.19	$486.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.64 / $428.63 / $820.80	Facility		$369.64	$428.63	$820.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.09 / $369.35 / $486.55	Professional		$240.09	$369.35	$486.55
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.48 / $500.91 / $651.34	Professional		$441.48	$500.91	$651.34