Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.58 / $5,448.50 / $7,838.38	Facility		$1,287.58	$5,448.50	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $643.79 / $643.79 / $643.79	Facility	52	$643.79	$643.79	$643.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $257.52 / $257.52 / $257.52	Facility	53	$257.52	$257.52	$257.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.39 / $1,391.39 / $1,391.39	Facility		$1,391.39	$1,391.39	$1,391.39
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,091.32 / $1,091.32 / $1,091.32	Facility	52	$1,091.32	$1,091.32	$1,091.32
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $272.83 / $272.83 / $272.83	Facility	53	$272.83	$272.83	$272.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $136.41 / $136.41	Facility	AS	$136.41	$136.41	$136.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,025.07 / $1,363.42 / $1,831.46	Facility		$1,025.07	$1,363.42	$1,831.46
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,091.32 / $1,091.32 / $1,091.32	Facility	52	$1,091.32	$1,091.32	$1,091.32
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $272.83 / $272.83 / $272.83	Facility	53	$272.83	$272.83	$272.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $136.41 / $136.41	Facility	AS	$136.41	$136.41	$136.41
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00