Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $1,250.33 / $2,067.75	Facility		$416.78	$1,250.33	$2,067.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $539.22 / $1,019.20	Professional		$416.78	$539.22	$1,019.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.16 / $2,248.76 / $3,735.39	Facility		$625.16	$2,248.76	$3,735.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.70 / $340.93 / $391.77	Professional		$255.70	$340.93	$391.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.65 / $646.01 / $679.35	Professional		$562.65	$646.01	$679.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Facility		$416.78	$416.78	$416.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $439.70 / $504.30 / $579.32	Professional		$439.70	$504.30	$579.32
United Facility/Professional Professional Modifier Low / Median / High Price $164.82 / $175.07 / $250.10	Professional		$164.82	$175.07	$250.10