Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.48 / $1,026.48 / $5,529.09	Professional		$1,026.48	$1,026.48	$5,529.09
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 $304.44 / $304.44 / $1,269.28	Professional		$304.44	$304.44	$1,269.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,262.44 / $2,262.44 / $2,262.44	Facility		$2,262.44	$2,262.44	$2,262.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.72 / $776.72 / $963.55	Professional		$776.72	$776.72	$963.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,511.64 / $1,802.34 / $2,330.89	Professional		$1,511.64	$1,802.34	$2,330.89