Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,481.00 / $8,644.27 / $13,292.40	Facility		$2,481.00	$8,644.27	$13,292.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $380.51 / $380.51 / $380.51	Facility	52	$380.51	$380.51	$380.51
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $3,729.80 / $3,729.80 / $3,729.80	Facility	80	$3,729.80	$3,729.80	$3,729.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,735.95 / $16,845.77 / $45,000.00	Facility		$4,735.95	$16,845.77	$45,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.95 / $818.95 / $3,388.59	Facility		$818.95	$818.95	$3,388.59
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.39 / $908.21 / $1,221.67	Facility		$699.39	$908.21	$1,221.67
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,002.00 / $15,131.00 / $16,269.00	Facility		$2,002.00	$15,131.00	$16,269.00