Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,095.00 / $5,984.24 / $7,838.38	Facility		$2,095.00	$5,984.24	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $123.70 / $123.70 / $123.70	Facility	52	$123.70	$123.70	$123.70
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 $260.75 / $260.75 / $1,023.75	Facility		$260.75	$260.75	$1,023.75
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.72 / $334.80 / $433.43	Facility		$218.72	$334.80	$433.43
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
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