Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.52 / $7,838.38 / $7,838.38	Facility		$169.52	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $188.13 / $199.40	Professional		$167.73	$188.13	$199.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.97 / $1,202.03 / $3,984.19	Facility		$497.97	$1,202.03	$3,984.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $253.61	Professional		$190.44	$190.44	$253.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $201.86 / $1,500.00	Professional		$85.00	$201.86	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.20 / $205.05 / $251.69	Facility		$202.20	$205.05	$251.69