Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $104.39 / $168.47	Professional		$88.26	$104.39	$168.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $228.89 / $228.89 / $228.89	Professional	50	$228.89	$228.89	$228.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $125.14 / $151.96	Professional		$125.14	$125.14	$151.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.14 / $125.14 / $125.14	Facility		$125.14	$125.14	$125.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $125.14 / $204.28	Professional		$78.34	$125.14	$204.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $105.61 / $150.07	Facility		$46.11	$105.61	$150.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $122.08 / $176.93	Professional		$79.56	$122.08	$176.93
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $153.40 / $187.19	Professional		$135.19	$153.40	$187.19