Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.55 / $1,978.24 / $3,798.21	Facility		$949.55	$1,978.24	$3,798.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.55 / $1,582.59 / $1,582.59	Professional		$949.55	$1,582.59	$1,582.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.74 / $1,035.65 / $1,266.07	Professional		$776.74	$1,035.65	$1,266.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,962.41 / $2,063.69 / $2,063.69	Professional		$1,962.41	$2,063.69	$2,063.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,335.70 / $1,335.70 / $1,519.28	Professional		$1,335.70	$1,335.70	$1,519.28
United Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $531.75 / $759.64	Professional		$531.75	$531.75	$759.64