Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,423.05 / $4,423.05 / $4,423.05	Facility	50	$4,423.05	$4,423.05	$4,423.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.22 / $613.12 / $2,652.00	Professional		$446.22	$613.12	$2,652.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,975.00 / $2,975.00 / $2,975.00	Professional	50	$2,975.00	$2,975.00	$2,975.00
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 $789.75 / $789.75 / $1,023.73	Professional		$789.75	$789.75	$1,023.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.75 / $789.75 / $789.75	Facility		$789.75	$789.75	$789.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.28 / $676.07 / $1,051.67	Professional		$513.28	$676.07	$1,051.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.27 / $789.75 / $1,120.00	Facility		$510.27	$789.75	$1,120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $513.13 / $777.18 / $1,051.67	Professional		$513.13	$777.18	$1,051.67
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
United Facility/Professional Professional Modifier Low / Median / High Price $933.21 / $1,061.40 / $1,226.09	Professional		$933.21	$1,061.40	$1,226.09