Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.75 / $2,021.86 / $6,510.76	Facility		$984.75	$2,021.86	$6,510.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.95 / $866.78 / $3,821.36	Professional		$525.95	$866.78	$3,821.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,329.68 / $4,329.68 / $4,329.68	Professional	50	$4,329.68	$4,329.68	$4,329.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $328.90 / $1,443.23 / $1,443.23	Professional	52	$328.90	$1,443.23	$1,443.23
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $232.91 / $493.35 / $2,164.85	Professional	54	$232.91	$493.35	$2,164.85
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $93.16 / $103.42 / $432.97	Professional	55	$93.16	$103.42	$432.97
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 $848.64 / $848.64 / $848.64	Professional		$848.64	$848.64	$848.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.64 / $848.64 / $848.64	Facility		$848.64	$848.64	$848.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.99 / $769.37 / $1,053.42	Professional		$643.99	$769.37	$1,053.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.94 / $931.58 / $2,424.78	Facility		$803.94	$931.58	$2,424.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $509.19 / $763.86 / $1,053.42	Professional		$509.19	$763.86	$1,053.42
United Facility/Professional Facility Modifier Low / Median / High Price $663.89 / $1,450.00 / $4,561.46	Facility		$663.89	$1,450.00	$4,561.46
United Facility/Professional Professional Modifier Low / Median / High Price $803.39 / $926.99 / $1,180.94	Professional		$803.39	$926.99	$1,180.94