Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $90.48 / $90.48	Facility		$90.48	$90.48	$90.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $81.06 / $428.00	Professional		$71.58	$81.06	$428.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,742.88 / $4,181.20 / $7,004.62	Facility		$1,742.88	$4,181.20	$7,004.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $106.44 / $147.63	Professional		$79.93	$106.44	$147.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $32.34 / $125.48	Professional		$23.37	$32.34	$125.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.59 / $112.74 / $121.35	Facility		$88.59	$112.74	$121.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $123.68 / $190.40	Professional		$95.84	$123.68	$190.40