Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.46 / $522.12 / $645.78	Facility		$147.46	$522.12	$645.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $490.19 / $539.22	Professional		$416.78	$490.19	$539.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.44 / $2,392.32 / $3,910.25	Facility		$654.44	$2,392.32	$3,910.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.70 / $340.93 / $416.78	Professional		$255.70	$340.93	$416.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.99 / $646.01 / $679.35	Professional		$588.99	$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 / $439.70 / $500.14	Professional		$439.70	$439.70	$500.14
United Facility/Professional Professional Modifier Low / Median / High Price $164.82 / $175.07 / $250.10	Professional		$164.82	$175.07	$250.10