Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $7,838.38 / $8,763.29	Facility		$656.25	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $656.25 / $656.25	Professional		$49.00	$656.25	$656.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,204.67 / $2,703.05 / $3,210.50	Facility		$2,204.67	$2,703.05	$3,210.50
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 $656.25 / $656.25 / $2,000.00	Facility		$656.25	$656.25	$2,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $13,891.00	Facility		$790.00	$9,127.00	$13,891.00