Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.63 / $158.65 / $165.57	Facility		$134.63	$158.65	$165.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $47.85 / $108.29	Professional		$47.08	$47.85	$108.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.38 / $76.31 / $89.59	Facility		$65.38	$76.31	$89.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $85.80 / $120.00	Professional		$61.05	$85.80	$120.00