Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $93.00 / $109.00	Professional		$91.00	$93.00	$109.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $7.31 / $7.31	Facility		$7.31	$7.31	$7.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $3.16	Professional		$2.34	$2.34	$3.16