Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,089.30 / $7,762.47	Facility		$891.25	$2,089.30	$7,762.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $10,715.19 / $16,982.44	Facility		$3,090.30	$10,715.19	$16,982.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $1,380.38	Facility		$660.69	$891.25	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $14,125.38 / $21,379.62	Facility		$1,023.29	$14,125.38	$21,379.62