Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.95	Professional		$15.85	$15.85	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.42 / $20.42	Professional		$13.80	$20.42	$20.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.79 / $21.38	Facility		$11.75	$14.79	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.75 / $11.75	Facility		$11.48	$11.75	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $16.22	Professional		$12.88	$13.49	$16.22