Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $3,385.08 / $6,467.18	Facility		$891.00	$3,385.08	$6,467.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.95 / $275.57 / $927.00	Professional		$176.95	$275.57	$927.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $44.25 / $102.43 / $275.98	Professional	53	$44.25	$102.43	$275.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $455.42 / $535.79	Professional		$286.56	$455.42	$535.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.56 / $286.56 / $286.56	Facility		$286.56	$286.56	$286.56
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $143.54 / $143.54 / $143.54	Facility	53	$143.54	$143.54	$143.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $301.45 / $535.79	Professional		$286.56	$301.45	$535.79
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $143.54 / $143.54 / $267.63	Professional	53	$143.54	$143.54	$267.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.95 / $327.36 / $673.40	Facility		$176.95	$327.36	$673.40
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $143.54 / $143.54 / $143.54	Facility	53	$143.54	$143.54	$143.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $500.78 / $891.78	Professional		$301.45	$500.78	$891.78
Providence Facility/Professional Professional Modifier 53 Low / Median / High Price $143.54 / $143.54 / $267.63	Professional	53	$143.54	$143.54	$267.63
United Facility/Professional Professional Modifier Low / Median / High Price $472.52 / $583.41 / $710.15	Professional		$472.52	$583.41	$710.15