Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $14,125.38	Facility		$1,621.81	$1,905.46	$14,125.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $26,915.35 / $43,651.58	Facility		$12,302.69	$26,915.35	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	22	$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	AS	$181.97	$181.97	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,344.23	Facility		$1,023.29	$1,380.38	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $10,715.19 / $46,773.51	Facility		$1,023.29	$10,715.19	$46,773.51