Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $3,570.00	Professional		$3,570.00	$3,570.00	$3,570.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,290.65 / $26,679.69 / $40,597.80	Facility		$5,290.65	$26,679.69	$40,597.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,638.25 / $5,290.65 / $7,500.00	Professional		$3,638.25	$5,290.65	$7,500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,290.65 / $5,290.65	Professional		$100.00	$5,290.65	$5,290.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,761.01 / $3,147.91 / $8,000.00	Professional		$2,761.01	$3,147.91	$8,000.00