Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,637.90 / $2,637.90 / $2,637.90	Facility		$2,637.90	$2,637.90	$2,637.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,901.60 / $2,901.60 / $2,901.60	Facility	50	$2,901.60	$2,901.60	$2,901.60
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.46 / $712.46 / $712.46	Facility		$712.46	$712.46	$712.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.65 / $721.62 / $1,350.90	Facility		$575.65	$721.62	$1,350.90
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