Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.65 / $2,145.78 / $7,838.38	Facility		$125.65	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $70.81 / $70.81 / $94.24	Facility	54	$70.81	$70.81	$94.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $614.54 / $1,001.38	Facility		$167.59	$614.54	$1,001.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $114.14 / $147.34	Facility		$81.59	$114.14	$147.34
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