Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.05 / $527.05 / $527.05	Facility		$527.05	$527.05	$527.05
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $80.73 / $80.73 / $80.73	Facility	25	$80.73	$80.73	$80.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.99 / $22.26	Professional		$7.76	$14.99	$22.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.74 / $7.24 / $10.38	Professional	52	$3.74	$7.24	$10.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68,099.99 / $68,099.99 / $81,499.99	Facility		$68,099.99	$68,099.99	$81,499.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $25.48 / $29.97	Professional		$14.20	$25.48	$29.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $14.20 / $29.97	Facility		$14.20	$14.20	$29.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $15.77 / $29.97	Professional		$14.20	$15.77	$29.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $14.20 / $24.00	Facility		$7.90	$14.20	$24.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $24.23 / $43.98	Professional		$14.20	$24.23	$43.98
United Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $29.59 / $35.20	Professional		$24.49	$29.59	$35.20