Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.22 / $817.67 / $1,664.56	Professional		$738.22	$817.67	$1,664.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $1,241.33 / $6,841.86	Professional	50	$1,241.33	$1,241.33	$6,841.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,626.83 / $1,626.83 / $1,626.83	Professional		$1,626.83	$1,626.83	$1,626.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,626.83 / $1,626.83 / $1,626.83	Facility		$1,626.83	$1,626.83	$1,626.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $947.99 / $959.91 / $1,626.83	Professional		$947.99	$959.91	$1,626.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $945.02 / $1,148.36 / $1,626.83	Facility		$945.02	$1,148.36	$1,626.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $980.88 / $1,405.61 / $1,941.73	Professional		$980.88	$1,405.61	$1,941.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,490.00 / $1,490.00 / $1,490.00	Facility		$1,490.00	$1,490.00	$1,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,394.43 / $1,616.46 / $1,867.29	Professional		$1,394.43	$1,616.46	$1,867.29