Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,441.31 / $7,838.38	Facility		$1,000.00	$2,441.31	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $406.67 / $406.67 / $406.67	Facility	52	$406.67	$406.67	$406.67
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 $875.09 / $875.09 / $875.09	Facility		$875.09	$875.09	$875.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	AS	$86.12	$86.12	$86.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.24 / $906.99 / $1,147.38	Facility		$731.24	$906.99	$1,147.38
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	AS	$86.12	$86.12	$86.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.00 / $9,127.00 / $10,150.00	Facility		$1,230.00	$9,127.00	$10,150.00