Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $520.98 / $1,250.33	Facility		$416.78	$520.98	$1,250.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.16 / $2,292.37 / $3,735.39	Facility		$625.16	$2,292.37	$3,735.39
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 Professional Modifier Low / Median / High Price $439.70 / $439.70 / $500.14	Professional		$439.70	$439.70	$500.14
United Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $175.07 / $250.10	Professional		$165.05	$175.07	$250.10