Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $206.14 / $266.76	Professional		$187.40	$206.14	$266.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.32 / $197.20 / $200.14	Professional		$189.32	$197.20	$200.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $288.81 / $433.21	Professional		$32.34	$288.81	$433.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.80 / $140.80 / $262.52	Facility		$140.80	$140.80	$262.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.42 / $187.42 / $187.42	Professional		$187.42	$187.42	$187.42
United Facility/Professional Professional Modifier Low / Median / High Price $226.32 / $307.23 / $363.66	Professional		$226.32	$307.23	$363.66