Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,080.16 / $3,080.16 / $3,080.16	Facility	50	$3,080.16	$3,080.16	$3,080.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.87 / $633.30 / $2,700.00	Professional		$488.87	$633.30	$2,700.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $733.32 / $835.47 / $4,506.14	Professional	50	$733.32	$835.47	$4,506.14
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 $930.14 / $930.14 / $1,163.07	Professional		$930.14	$930.14	$1,163.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.14 / $930.14 / $930.14	Facility		$930.14	$930.14	$930.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.53 / $753.68 / $1,202.99	Professional		$578.53	$753.68	$1,202.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.21 / $930.14 / $1,539.00	Facility		$515.21	$930.14	$1,539.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $603.55 / $882.98 / $1,202.99	Professional		$603.55	$882.98	$1,202.99
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 $1,087.83 / $1,213.34 / $1,401.63	Professional		$1,087.83	$1,213.34	$1,401.63