Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.28 / $2,145.78 / $7,838.38	Facility		$420.28	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $210.14 / $210.14 / $210.14	Facility	52	$210.14	$210.14	$210.14
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.20 / $315.20 / $315.20	Facility	54	$315.20	$315.20	$315.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $641.33 / $1,001.38	Facility		$167.59	$641.33	$1,001.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.73 / $448.56 / $583.91	Facility		$389.73	$448.56	$583.91
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