Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,040.00 / $6,656.08 / $7,838.38	Facility		$2,040.00	$6,656.08	$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 $427.39 / $427.39 / $3,388.59	Facility		$427.39	$427.39	$3,388.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.03 / $460.05 / $638.02	Facility		$363.03	$460.05	$638.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
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