Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $78.06 / $101.04	Professional		$68.90	$78.06	$101.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $74.77 / $75.95	Professional		$71.78	$74.77	$75.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $109.50 / $164.25	Professional		$32.34	$109.50	$164.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $55.62 / $99.90	Facility		$55.62	$55.62	$99.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $71.34 / $71.34	Professional		$71.34	$71.34	$71.34
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $116.13 / $191.19	Professional		$72.70	$116.13	$191.19