Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $8,763.29	Facility		$1,000.00	$7,838.38	$8,763.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $115.80 / $115.80 / $115.80	Facility	52	$115.80	$115.80	$115.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,762.29 / $11,735.81 / $19,139.56	Facility		$4,762.29	$11,735.81	$19,139.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.91 / $244.91 / $4,989.89	Facility		$244.91	$244.91	$4,989.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $191.49 / $191.49	Facility	52	$191.49	$191.49	$191.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.99 / $235.22 / $378.84	Facility		$200.99	$235.22	$378.84
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $191.49 / $191.49	Facility	52	$191.49	$191.49	$191.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.00 / $9,127.00 / $10,150.00	Facility		$1,230.00	$9,127.00	$10,150.00