Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $72.59 / $95.12	Professional		$64.06	$72.59	$95.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $74.29 / $76.75	Professional		$73.68	$74.29	$76.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $112.41 / $168.61	Professional		$32.34	$112.41	$168.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $56.34 / $95.12	Facility		$56.34	$56.34	$95.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $67.67 / $67.67	Professional		$67.67	$67.67	$67.67
United Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $109.01 / $180.90	Professional		$69.02	$109.01	$180.90