Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.98 / $2,819.60 / $7,838.38	Facility		$308.98	$2,819.60	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.37 / $104.37 / $104.37	Facility	52	$104.37	$104.37	$104.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,276.43 / $3,062.18 / $4,875.76	Facility		$1,276.43	$3,062.18	$4,875.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.76 / $219.76 / $1,023.75	Facility		$219.76	$219.76	$1,023.75
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.50 / $282.93 / $351.59	Facility		$183.50	$282.93	$351.59
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00