Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.50 / $7,838.38 / $8,942.39	Facility		$1,268.50	$7,838.38	$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 $1,349.70 / $1,349.70 / $3,456.15	Facility		$1,349.70	$1,349.70	$3,456.15
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $132.97 / $132.97 / $132.97	Facility	AS	$132.97	$132.97	$132.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,134.09 / $1,606.05 / $2,028.51	Facility		$1,134.09	$1,606.05	$2,028.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $132.97 / $132.97 / $132.97	Facility	AS	$132.97	$132.97	$132.97
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