Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $341.47 / $1,993.48	Facility		$315.00	$341.47	$1,993.48
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $472.50 / $472.50 / $472.50	Facility	50	$472.50	$472.50	$472.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $117.00 / $338.00	Professional		$52.72	$117.00	$338.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.99 / $177.95 / $766.24	Professional	50	$131.99	$177.95	$766.24
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 $142.49 / $142.49 / $177.19	Professional		$142.49	$142.49	$177.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.49 / $142.49 / $142.49	Facility		$142.49	$142.49	$142.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.57 / $164.71 / $224.24	Professional		$100.57	$164.71	$224.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.49 / $234.51 / $480.51	Facility		$142.49	$234.51	$480.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $142.49 / $199.01	Professional		$92.88	$142.49	$199.01
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $168.75 / $307.41	Professional		$153.16	$168.75	$307.41