Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.73 / $75.73 / $75.73	Facility	52	$75.73	$75.73	$75.73
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 $160.19 / $160.19 / $1,023.75	Facility		$160.19	$160.19	$1,023.75
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $188.13 / $254.96	Facility		$134.47	$188.13	$254.96
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
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