Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $119.93 / $155.21	Professional		$105.82	$119.93	$155.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $119.39 / $131.52	Professional		$116.40	$119.39	$131.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $182.13 / $273.19	Professional		$32.34	$182.13	$273.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $81.33 / $152.19	Facility		$81.33	$81.33	$152.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $108.85	Professional		$108.85	$108.85	$108.85
United Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $172.80 / $289.92	Professional		$131.19	$172.80	$289.92