Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $873.40 / $873.40 / $873.40	Facility	52	$873.40	$873.40	$873.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,874.42 / $1,874.42 / $1,874.42	Facility		$1,874.42	$1,874.42	$1,874.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,471.60 / $1,471.60 / $1,471.60	Facility	52	$1,471.60	$1,471.60	$1,471.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.95 / $183.95 / $183.95	Facility	AS	$183.95	$183.95	$183.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,432.20 / $1,839.39 / $2,463.71	Facility		$1,432.20	$1,839.39	$2,463.71
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,471.60 / $1,471.60 / $1,471.60	Facility	52	$1,471.60	$1,471.60	$1,471.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $183.95 / $183.95 / $183.95	Facility	AS	$183.95	$183.95	$183.95
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