Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $74.13	Professional		$42.66	$50.12	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $50.12	Professional		$30.20	$44.67	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $97.72	Professional		$32.36	$64.57	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $66.07	Facility		$37.15	$37.15	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $102.33	Professional		$46.77	$61.66	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $125.89	Professional		$46.77	$77.62	$125.89