Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.64 / $466.64 / $7,838.38	Facility		$466.64	$466.64	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $294.50 / $294.50 / $294.50	Facility	54	$294.50	$294.50	$294.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.77 / $1,724.33 / $2,604.83	Facility		$484.77	$1,724.33	$2,604.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $401.74 / $530.67	Facility		$204.00	$401.74	$530.67
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