Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.21 / $6,969.00 / $7,838.38	Facility		$1,030.21	$6,969.00	$7,838.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,665.47 / $11,192.51 / $17,821.25	Facility		$4,665.47	$11,192.51	$17,821.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.42 / $721.42 / $1,996.40	Facility		$721.42	$721.42	$1,996.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $71.20 / $71.20	Facility	AS	$71.20	$71.20	$71.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $589.04 / $748.25 / $1,033.59	Facility		$589.04	$748.25	$1,033.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $71.20 / $71.20	Facility	AS	$71.20	$71.20	$71.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,092.00 / $9,127.00 / $9,127.00	Facility		$2,092.00	$9,127.00	$9,127.00