Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $154.72 / $215.01	Facility		$39.00	$154.72	$215.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $19.46 / $57.82	Professional		$11.46	$19.46	$57.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $23.46 / $42.53 / $92.25	Professional	50	$23.46	$42.53	$92.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.69 / $38.29 / $69.00	Professional	52	$7.69	$38.29	$69.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $3.08 / $15.32 / $65.00	Professional	53	$3.08	$15.32	$65.00
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 $25.24 / $25.24 / $25.24	Professional		$25.24	$25.24	$25.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.24 / $25.24 / $25.24	Facility		$25.24	$25.24	$25.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $25.24 / $25.24	Professional		$15.59	$25.24	$25.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $15.20 / $25.24	Facility		$12.16	$15.20	$25.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $21.84 / $31.50	Professional		$14.56	$21.84	$31.50
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $23.21 / $42.56	Professional		$18.80	$23.21	$42.56