Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $8,317.64	Facility		$2,290.87	$3,801.89	$8,317.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $26,302.68 / $43,651.58	Facility		$12,022.64	$26,302.68	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	22	$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	62	$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	AS	$263.03	$263.03	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,467.37	Facility		$1,412.54	$1,949.84	$3,467.37
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