Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,122.02 / $1,258.93	Facility		$416.87	$1,122.02	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $977.24	Professional		$416.87	$416.87	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,290.87 / $3,715.35	Facility		$1,047.13	$2,290.87	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $389.05	Professional		$257.04	$338.84	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $645.65 / $891.25	Professional		$60.26	$645.65	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $501.19 / $1,230.27	Facility		$416.87	$501.19	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $457.09 / $602.56	Professional		$436.52	$457.09	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $251.19	Professional		$165.96	$173.78	$251.19