Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $363.08 / $7,762.47	Facility		$346.74	$363.08	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	52	$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	AS	$40.74	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $316.23 / $562.34	Facility		$223.87	$316.23	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $5,011.87 / $17,782.79	Facility		$562.34	$5,011.87	$17,782.79