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 $550.29 / $550.29 / $550.29	Facility	52	$550.29	$550.29	$550.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,187.10 / $1,187.10 / $1,187.10	Facility		$1,187.10	$1,187.10	$1,187.10
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.63 / $1,128.45 / $1,555.49	Facility		$664.63	$1,128.45	$1,555.49
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00