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 $171.83 / $171.83 / $171.83	Facility	52	$171.83	$171.83	$171.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.73 / $68.73 / $68.73	Facility	53	$68.73	$68.73	$68.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,363.84 / $7,916.43 / $12,604.93	Facility		$2,363.84	$7,916.43	$12,604.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.56 / $362.56 / $2,222.25	Facility		$362.56	$362.56	$2,222.25
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $419.30 / $571.00	Facility		$302.62	$419.30	$571.00
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
United Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $6,599.00 / $7,158.00	Facility		$936.00	$6,599.00	$7,158.00