Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $135.43 / $794.56	Professional		$130.38	$135.43	$794.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $368.82 / $368.82 / $368.82	Professional	50	$368.82	$368.82	$368.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.98 / $233.98 / $247.65	Professional		$233.98	$233.98	$247.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.98 / $233.98 / $233.98	Facility		$233.98	$233.98	$233.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $159.11 / $257.83	Professional		$151.62	$159.11	$257.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.72 / $164.16 / $233.98	Facility		$156.72	$164.16	$233.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $208.68 / $277.93	Professional		$147.52	$208.68	$277.93
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 $231.92 / $258.68 / $298.82	Professional		$231.92	$258.68	$298.82