Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,348.96 / $2,137.96	Facility		$223.87	$1,348.96	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $707.95 / $1,174.90	Facility		$281.84	$707.95	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $275.42	Facility		$123.03	$165.96	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54