Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.45 / $947.45 / $4,014.43	Professional		$947.45	$947.45	$4,014.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $955.90	Professional		$282.88	$282.88	$955.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $1,697.00 / $1,697.00	Facility		$1,697.00	$1,697.00	$1,697.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.62 / $580.62 / $725.48	Professional		$580.62	$580.62	$725.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,346.81 / $1,749.80	Professional		$1,105.00	$1,346.81	$1,749.80