Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.05 / $2,903.39 / $7,838.38	Facility		$986.05	$2,903.39	$7,838.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,111.50 / $4,448.78 / $4,737.58	Facility	50	$1,111.50	$4,448.78	$4,737.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,246.55 / $14,177.52 / $22,731.47	Facility		$4,246.55	$14,177.52	$22,731.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.14 / $566.28 / $874.03	Facility		$405.14	$566.28	$874.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $12,494.00	Facility		$7,315.00	$11,259.00	$12,494.00