Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,125.80 / $2,125.80 / $2,125.80	Facility	50	$2,125.80	$2,125.80	$2,125.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.86 / $355.39 / $1,173.24	Professional		$211.86	$355.39	$1,173.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $114.04 / $862.00	Professional	50	$114.04	$114.04	$862.00
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 $348.08 / $348.08 / $589.41	Professional		$348.08	$348.08	$589.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.08 / $348.08 / $348.08	Facility		$348.08	$348.08	$348.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.43 / $393.48 / $737.39	Professional		$223.43	$393.48	$737.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.06 / $348.08 / $840.00	Facility		$146.06	$348.08	$840.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.02 / $393.26 / $604.98	Professional		$225.02	$393.26	$604.98
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 $574.08 / $640.32 / $739.87	Professional		$574.08	$640.32	$739.87