Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,376.00 / $2,376.00 / $2,376.00	Facility		$2,376.00	$2,376.00	$2,376.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,551.50 / $2,551.50 / $2,551.50	Facility	50	$2,551.50	$2,551.50	$2,551.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $369.63 / $617.02	Professional		$273.88	$369.63	$617.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,127.68 / $7,597.80 / $7,597.80	Professional	50	$1,127.68	$7,597.80	$7,597.80
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 $455.87 / $455.87 / $608.88	Professional		$455.87	$455.87	$608.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.87 / $455.87 / $455.87	Facility		$455.87	$455.87	$455.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.81 / $488.30 / $640.78	Professional		$430.81	$488.30	$640.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.99 / $663.00 / $724.21	Facility		$279.99	$663.00	$724.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.57 / $457.78 / $640.78	Professional		$297.57	$457.78	$640.78
United Facility/Professional Professional Modifier Low / Median / High Price $520.20 / $645.00 / $1,070.21	Professional		$520.20	$645.00	$1,070.21