Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,162.28	Professional		$1,737.80	$1,737.80	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,548.13 / $5,888.44	Facility		$1,621.81	$3,548.13	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,691.53	Facility		$1,258.93	$1,737.80	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $3,388.44	Facility		$1,548.82	$3,388.44	$3,388.44