Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $54.95	Professional		$28.84	$50.12	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $851.14 / $1,445.44	Facility		$239.88	$851.14	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $60.26 / $85.11	Professional		$33.11	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $562.34 / $562.34	Facility		$251.19	$562.34	$562.34