Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.81 / $7,838.38 / $8,644.27	Facility		$1,151.81	$7,838.38	$8,644.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,643.21 / $8,740.11 / $13,916.43	Facility		$3,643.21	$8,740.11	$13,916.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,181.83 / $1,181.83 / $3,456.15	Facility		$1,181.83	$1,181.83	$3,456.15
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $118.18	Facility	AS	$118.18	$118.18	$118.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $712.02 / $1,171.77 / $1,566.76	Facility		$712.02	$1,171.77	$1,566.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $118.18	Facility	AS	$118.18	$118.18	$118.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,705.00 / $11,259.00 / $12,494.00	Facility		$1,705.00	$11,259.00	$12,494.00