Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.01 / $7,838.38 / $14,718.60	Facility		$915.01	$7,838.38	$14,718.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,477.92 / $4,477.92 / $9,258.70	Facility	50	$4,477.92	$4,477.92	$9,258.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.37 / $15,811.44 / $25,447.84	Facility		$3,289.37	$15,811.44	$25,447.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.98 / $643.98 / $3,388.59	Facility		$643.98	$643.98	$3,388.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.45 / $659.27 / $931.60	Facility		$526.45	$659.27	$931.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,002.00 / $15,131.00 / $16,269.00	Facility		$2,002.00	$15,131.00	$16,269.00