Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.94 / $405.94 / $405.94	Facility		$405.94	$405.94	$405.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.70 / $405.94 / $1,337.58	Professional		$389.70	$405.94	$1,337.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.75 / $370.33 / $441.26	Professional		$277.75	$370.33	$441.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $463.60 / $463.60 / $463.60	Professional		$463.60	$463.60	$463.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $287.30 / $430.30	Facility		$4.51	$287.30	$430.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $184.14 / $184.14	Professional		$184.14	$184.14	$184.14
United Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $523.36 / $614.63	Professional		$383.32	$523.36	$614.63