Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $134.28 / $134.28 / $134.28	Facility	52	$134.28	$134.28	$134.28
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $53.71 / $53.71 / $53.71	Facility	53	$53.71	$53.71	$53.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $283.45 / $749.86	Facility		$283.45	$283.45	$749.86
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.01 / $272.52 / $615.03	Facility		$234.01	$272.52	$615.03
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00