Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.17 / $2,095.00 / $7,838.38	Facility		$756.17	$2,095.00	$7,838.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,552.54 / $16,307.81 / $25,305.82	Facility		$4,552.54	$16,307.81	$25,305.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $715.71 / $941.31 / $1,320.90	Facility		$715.71	$941.31	$1,320.90
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00