Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.89 / $7,838.38 / $8,942.39	Facility		$1,215.89	$7,838.38	$8,942.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.66 / $1,257.41 / $1,264.83	Professional		$1,159.66	$1,257.41	$1,264.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,174.03 / $12,412.55 / $20,794.32	Facility		$5,174.03	$12,412.55	$20,794.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,485.99 / $1,485.99 / $1,485.99	Facility		$1,485.99	$1,485.99	$1,485.99
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $13,891.00	Facility		$6,602.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,697.84 / $2,345.19 / $2,961.06	Professional		$1,697.84	$2,345.19	$2,961.06