Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.88 / $2,864.96 / $7,838.38	Facility		$1,278.88	$2,864.96	$7,838.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,589.00 / $4,448.78 / $6,969.00	Facility	50	$3,589.00	$4,448.78	$6,969.00
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $4,148.00 / $4,148.00 / $4,148.00	Facility	80	$4,148.00	$4,148.00	$4,148.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,454.42 / $11,532.94 / $18,491.31	Facility		$3,454.42	$11,532.94	$18,491.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,032.39 / $1,214.55 / $1,275.97	Facility		$1,032.39	$1,214.55	$1,275.97
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $10,150.00	Facility		$6,602.00	$9,127.00	$10,150.00