Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $166.52 / $215.49	Professional		$146.93	$166.52	$215.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $161.69 / $181.33	Professional		$133.57	$161.69	$181.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $265.56 / $398.34	Professional		$32.34	$265.56	$398.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.97 / $113.97 / $210.78	Facility		$113.97	$113.97	$210.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.56 / $150.56 / $150.56	Professional		$150.56	$150.56	$150.56
United Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $240.84 / $402.91	Professional		$155.22	$240.84	$402.91