Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.00 / $8,763.29 / $26,656.81	Facility		$1,544.00	$8,763.29	$26,656.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,761.63 / $14,198.51 / $23,155.91	Facility		$5,761.63	$14,198.51	$23,155.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,095.64 / $1,095.64 / $2,222.25	Facility		$1,095.64	$1,095.64	$2,222.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $107.75 / $107.75	Facility	AS	$107.75	$107.75	$107.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $918.63 / $1,192.88 / $1,447.86	Facility		$918.63	$1,192.88	$1,447.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $107.75 / $107.75	Facility	AS	$107.75	$107.75	$107.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,012.00 / $21,608.00 / $23,186.00	Facility		$4,012.00	$21,608.00	$23,186.00