Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,495.41 / $8,128.31	Facility		$1,023.29	$5,495.41	$8,128.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $16,982.44 / $26,302.68	Facility		$4,786.30	$16,982.44	$26,302.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,737.80	Facility		$758.58	$1,023.29	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $26,302.68	Facility		$1,023.29	$15,135.61	$26,302.68