Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.79 / $291.79 / $291.79	Facility		$291.79	$291.79	$291.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.12 / $291.79 / $961.47	Professional		$280.12	$291.79	$961.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.65 / $266.20 / $317.18	Professional		$199.65	$266.20	$317.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $333.24 / $333.24 / $333.24	Professional		$333.24	$333.24	$333.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $206.52 / $309.30	Facility		$4.53	$206.52	$309.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.37 / $132.37 / $132.37	Professional		$132.37	$132.37	$132.37
United Facility/Professional Professional Modifier Low / Median / High Price $275.54 / $376.20 / $441.82	Professional		$275.54	$376.20	$441.82