Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $316.23	Professional		$186.21	$275.42	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $316.23	Professional		$199.53	$269.15	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $190.55 / $295.12	Facility		$125.89	$190.55	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $151.36	Professional		$131.83	$151.36	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $446.68	Professional		$245.47	$371.54	$446.68