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 $21.51 / $21.51 / $21.51	Facility	52	$21.51	$21.51	$21.51
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.60 / $8.60 / $8.60	Facility	53	$8.60	$8.60	$8.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.93 / $436.02 / $711.09	Facility		$176.93	$436.02	$711.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $250.82	Facility		$45.46	$45.46	$250.82
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.59 / $48.03 / $68.00	Facility		$37.59	$48.03	$68.00
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,327.00 / $1,327.00	Facility		$200.00	$1,327.00	$1,327.00