Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.06 / $685.15 / $1,328.37	Professional		$212.06	$685.15	$1,328.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,814.22 / $4,196.32 / $6,728.16	Facility		$1,814.22	$4,196.32	$6,728.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $199.86 / $402.76	Professional		$119.92	$199.86	$402.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $202.66 / $361.34	Professional		$32.34	$202.66	$361.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $228.96 / $369.92	Facility		$90.35	$228.96	$369.92
United Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $360.26 / $503.24	Professional		$287.89	$360.26	$503.24