Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,042.04 / $2,411.32 / $3,869.68	Facility		$2,042.04	$2,411.32	$3,869.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.27 / $281.80 / $929.53	Professional		$177.27	$281.80	$929.53
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $44.25 / $103.82 / $276.31	Professional	53	$44.25	$103.82	$276.31
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 $287.08 / $455.87 / $536.32	Professional		$287.08	$455.87	$536.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.08 / $287.08 / $287.08	Facility		$287.08	$287.08	$287.08
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $144.07 / $144.07 / $144.07	Facility	53	$144.07	$144.07	$144.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.08 / $301.75 / $536.32	Professional		$287.08	$301.75	$536.32
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $144.07 / $144.07 / $268.16	Professional	53	$144.07	$144.07	$268.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.27 / $327.68 / $673.40	Facility		$177.27	$327.68	$673.40
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $144.07 / $144.07 / $144.07	Facility	53	$144.07	$144.07	$144.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $501.43 / $891.78	Professional		$301.75	$501.43	$891.78
Providence Facility/Professional Professional Modifier 53 Low / Median / High Price $144.07 / $144.07 / $268.16	Professional	53	$144.07	$144.07	$268.16
United Facility/Professional Professional Modifier Low / Median / High Price $471.49 / $584.65 / $943.50	Professional		$471.49	$584.65	$943.50