Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.69 / $2,145.78 / $7,838.38	Facility		$180.69	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $135.52 / $135.52 / $135.52	Facility	54	$135.52	$135.52	$135.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $616.75 / $1,001.38	Facility		$167.59	$616.75	$1,001.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.90 / $326.24 / $670.46	Facility		$173.90	$326.24	$670.46
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00