Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,683.03 / $7,950.00 / $8,942.39	Facility		$1,683.03	$7,950.00	$8,942.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,273.60 / $15,048.81 / $23,961.46	Facility		$5,273.60	$15,048.81	$23,961.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,205.52 / $1,205.52 / $3,456.15	Facility		$1,205.52	$1,205.52	$3,456.15
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.93 / $118.93 / $118.93	Facility	AS	$118.93	$118.93	$118.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,012.24 / $1,393.28 / $1,723.46	Facility		$1,012.24	$1,393.28	$1,723.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $118.93 / $118.93 / $118.93	Facility	AS	$118.93	$118.93	$118.93
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