Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.22 / $776.38 / $1,447.13	Professional		$767.22	$776.38	$1,447.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $925.93 / $925.93 / $925.93	Professional		$925.93	$925.93	$925.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $922.67 / $1,075.78 / $1,373.13	Facility		$922.67	$1,075.78	$1,373.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $626.62 / $887.73 / $1,239.35	Professional		$626.62	$887.73	$1,239.35
United Facility/Professional Facility Modifier Low / Median / High Price $5,800.00 / $5,800.00 / $5,800.00	Facility		$5,800.00	$5,800.00	$5,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.68 / $1,111.56 / $1,343.77	Professional		$979.68	$1,111.56	$1,343.77