Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.29 / $5,907.48 / $7,838.38	Facility		$556.29	$5,907.48	$7,838.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,847.61 / $13,323.23 / $21,213.90	Facility		$3,847.61	$13,323.23	$21,213.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.46 / $392.46 / $3,388.59	Facility		$392.46	$392.46	$3,388.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.74 / $38.74 / $38.74	Facility	AS	$38.74	$38.74	$38.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.44 / $426.16 / $588.84	Facility		$333.44	$426.16	$588.84
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $38.74 / $38.74 / $38.74	Facility	AS	$38.74	$38.74	$38.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,705.00 / $11,259.00 / $12,494.00	Facility		$1,705.00	$11,259.00	$12,494.00