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 $929.43 / $929.43 / $929.43	Facility	52	$929.43	$929.43	$929.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.71 / $2,001.71 / $2,001.71	Facility		$2,001.71	$2,001.71	$2,001.71
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,570.62 / $1,570.62 / $1,570.62	Facility	52	$1,570.62	$1,570.62	$1,570.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,325.30 / $1,913.48 / $2,621.74	Facility		$1,325.30	$1,913.48	$2,621.74
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,570.62 / $1,570.62 / $1,570.62	Facility	52	$1,570.62	$1,570.62	$1,570.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
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