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 $810.41 / $810.41 / $810.41	Facility	52	$810.41	$810.41	$810.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,742.51 / $1,742.51 / $1,742.51	Facility		$1,742.51	$1,742.51	$1,742.51
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,477.92 / $1,837.72 / $2,278.52	Facility		$1,477.92	$1,837.72	$2,278.52
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,705.00 / $11,259.00 / $12,494.00	Facility		$1,705.00	$11,259.00	$12,494.00