Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.53 / $609.66 / $1,090.59	Professional		$570.53	$609.66	$1,090.59
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $123.76 / $123.76 / $123.76	Professional	55	$123.76	$123.76	$123.76
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 $1,066.32 / $1,066.32 / $1,066.32	Professional		$1,066.32	$1,066.32	$1,066.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.32 / $1,066.32 / $1,066.32	Facility		$1,066.32	$1,066.32	$1,066.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.44 / $887.32 / $1,066.32	Professional		$700.44	$887.32	$1,066.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.32 / $1,066.32 / $1,066.32	Facility		$1,066.32	$1,066.32	$1,066.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $638.91 / $905.14 / $1,261.36	Professional		$638.91	$905.14	$1,261.36
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 $1,027.00 / $1,145.50 / $1,323.25	Professional		$1,027.00	$1,145.50	$1,323.25