Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.54 / $7,838.38 / $7,838.38	Facility		$126.54	$7,838.38	$7,838.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $136.38 / $136.38	Facility		$136.38	$136.38	$136.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	AS	$13.27	$13.27	$13.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.05 / $152.91 / $180.95	Facility		$116.05	$152.91	$180.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	AS	$13.27	$13.27	$13.27
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