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 $979.77 / $979.77 / $979.77	Facility	52	$979.77	$979.77	$979.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,094.52 / $2,094.52 / $2,094.52	Facility		$2,094.52	$2,094.52	$2,094.52
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,648.76 / $1,648.76 / $1,648.76	Facility	52	$1,648.76	$1,648.76	$1,648.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $206.10 / $206.10 / $206.10	Facility	AS	$206.10	$206.10	$206.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,522.59 / $2,044.77 / $2,740.17	Facility		$1,522.59	$2,044.77	$2,740.17
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,648.76 / $1,648.76 / $1,648.76	Facility	52	$1,648.76	$1,648.76	$1,648.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $206.10 / $206.10 / $206.10	Facility	AS	$206.10	$206.10	$206.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,616.00 / $15,732.00	Facility		$3,085.00	$4,616.00	$15,732.00