Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,134.99 / $1,134.99 / $1,134.99	Facility	50	$1,134.99	$1,134.99	$1,134.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $327.99 / $900.00	Professional		$257.89	$327.99	$900.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $436.08 / $816.74 / $2,346.00	Professional	50	$436.08	$816.74	$2,346.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $282.45 / $304.38 / $1,327.72	Professional	54	$282.45	$304.38	$1,327.72
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $56.49 / $66.69 / $265.54	Professional	55	$56.49	$66.69	$265.54
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 $488.47 / $488.47 / $524.75	Professional		$488.47	$488.47	$524.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.47 / $488.47 / $488.47	Facility		$488.47	$488.47	$488.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.16 / $332.48 / $542.41	Professional		$302.16	$332.48	$542.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.42 / $488.47 / $884.07	Facility		$262.42	$488.47	$884.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $315.41 / $438.71 / $577.87	Professional		$315.41	$438.71	$577.87
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 $467.49 / $545.20 / $629.79	Professional		$467.49	$545.20	$629.79