Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,362.12 / $4,362.12 / $4,848.06	Facility		$4,362.12	$4,362.12	$4,848.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.66 / $1,003.86 / $3,889.20	Professional		$749.66	$1,003.86	$3,889.20
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $675.83 / $1,068.38 / $2,967.35	Professional	54	$675.83	$1,068.38	$2,967.35
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $135.16 / $593.47 / $593.47	Professional	55	$135.16	$593.47	$593.47
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 $1,162.54 / $1,162.54 / $1,162.54	Professional		$1,162.54	$1,162.54	$1,162.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.54 / $1,162.54 / $1,162.54	Facility		$1,162.54	$1,162.54	$1,162.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.87 / $1,076.58 / $1,308.92	Professional		$800.87	$1,076.58	$1,308.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.39 / $1,310.94 / $2,881.35	Facility		$1,066.39	$1,310.94	$2,881.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $697.47 / $1,046.31 / $1,376.44	Professional		$697.47	$1,046.31	$1,376.44
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 $1,102.40 / $1,250.80 / $1,561.94	Professional		$1,102.40	$1,250.80	$1,561.94