Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $187.03 / $349.14	Professional		$114.95	$187.03	$349.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $286.20 / $286.20 / $314.82	Professional	50	$286.20	$286.20	$314.82
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 $192.44 / $192.44 / $303.39	Professional		$192.44	$192.44	$303.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.44 / $192.44 / $192.44	Facility		$192.44	$192.44	$192.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.44 / $202.54 / $318.35	Professional		$192.44	$202.54	$318.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.57 / $317.20 / $356.10	Facility		$118.57	$317.20	$356.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $200.49 / $318.35	Professional		$124.43	$200.49	$318.35
United Facility/Professional Professional Modifier Low / Median / High Price $249.57 / $312.32 / $534.65	Professional		$249.57	$312.32	$534.65