Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.75 / $7,838.38 / $8,942.39	Facility		$1,180.75	$7,838.38	$8,942.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,835.87 / $16,845.77 / $27,473.25	Facility		$6,835.87	$16,845.77	$27,473.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.81 / $1,273.81 / $5,800.23	Facility		$1,273.81	$1,273.81	$5,800.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.45 / $125.45 / $125.45	Facility	AS	$125.45	$125.45	$125.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.47 / $1,183.14 / $1,768.00	Facility		$868.47	$1,183.14	$1,768.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $125.45 / $125.45 / $125.45	Facility	AS	$125.45	$125.45	$125.45
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