Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.10 / $761.10 / $1,356.62	Professional		$761.10	$761.10	$1,356.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $155.28 / $155.28 / $155.28	Professional	55	$155.28	$155.28	$155.28
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 $1,333.96 / $1,333.96 / $1,333.96	Professional		$1,333.96	$1,333.96	$1,333.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,333.95 / $1,333.95 / $1,333.95	Facility		$1,333.95	$1,333.95	$1,333.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.83 / $1,112.96 / $1,333.95	Professional		$878.83	$1,112.96	$1,333.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,333.95 / $1,333.95 / $1,333.95	Facility		$1,333.95	$1,333.95	$1,333.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $800.66 / $1,134.29 / $1,578.29	Professional		$800.66	$1,134.29	$1,578.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $2,090.00 / $2,090.00	Facility		$2,090.00	$2,090.00	$2,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,311.76 / $1,435.50 / $1,732.51	Professional		$1,311.76	$1,435.50	$1,732.51