Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.42 / $3,825.88 / $7,345.68	Facility		$1,836.42	$3,825.88	$7,345.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,836.42 / $3,060.70 / $3,060.70	Professional		$1,836.42	$3,060.70	$3,060.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,672.84 / $13,064.29 / $21,945.22	Facility		$3,672.84	$13,064.29	$21,945.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,795.27 / $3,991.15 / $3,991.15	Professional		$3,795.27	$3,991.15	$3,991.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,085.19 / $3,085.19 / $3,085.19	Facility		$3,085.19	$3,085.19	$3,085.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,583.23 / $2,583.23 / $2,938.27	Professional		$2,583.23	$2,583.23	$2,938.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $1,469.14	Professional		$1,028.40	$1,028.40	$1,469.14