Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $239.88	Professional		$223.87	$239.88	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $3,019.95	Facility		$1,698.24	$2,041.74	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $389.05 / $389.05	Professional		$100.00	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $512.86	Professional		$208.93	$234.42	$512.86