Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,829.96 / $7,532.36 / $8,644.27	Facility		$2,829.96	$7,532.36	$8,644.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,951.50 / $39,309.62 / $64,108.82	Facility		$15,951.50	$39,309.62	$64,108.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,971.38 / $1,971.38 / $1,971.38	Facility		$1,971.38	$1,971.38	$1,971.38
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,634.11 / $1,971.38 / $2,591.54	Facility		$1,634.11	$1,971.38	$2,591.54
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,002.00 / $15,131.00 / $16,269.00	Facility		$2,002.00	$15,131.00	$16,269.00