Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $183.88 / $219.18	Professional		$154.65	$183.88	$219.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $139.09 / $164.64	Professional		$102.45	$139.09	$164.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $203.69 / $305.53	Professional		$32.34	$203.69	$305.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $117.07 / $216.76	Facility		$117.07	$117.07	$216.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.78 / $154.78 / $154.78	Professional		$154.78	$154.78	$154.78
United Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $247.87 / $413.17	Professional		$157.97	$247.87	$413.17