Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $524.81 / $1,122.02	Facility		$134.90	$524.81	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $489.78	Professional		$416.87	$416.87	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $3,890.45	Facility		$1,096.48	$2,398.83	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $416.87	Professional		$257.04	$338.84	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $933.25	Professional		$588.84	$645.65	$933.25
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 / $457.09	Professional		$436.52	$457.09	$457.09
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