Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.82 / $7,838.38 / $8,644.27	Facility		$926.82	$7,838.38	$8,644.27
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,260.83 / $3,260.83 / $3,260.83	Facility	50	$3,260.83	$3,260.83	$3,260.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.14 / $18,250.21 / $29,738.47	Facility		$4,977.14	$18,250.21	$29,738.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.73 / $1,207.85 / $2,419.19	Facility		$892.73	$1,207.85	$2,419.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $21,396.00	Facility		$1,035.00	$15,131.00	$21,396.00