Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.58 / $285.20 / $285.20	Professional		$267.58	$285.20	$285.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.99 / $3,736.66 / $5,685.99	Facility		$740.99	$3,736.66	$5,685.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.99 / $740.99 / $740.99	Professional		$740.99	$740.99	$740.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $740.99 / $740.99	Professional		$100.00	$740.99	$740.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,191.47 / $1,191.47 / $1,191.47	Facility		$1,191.47	$1,191.47	$1,191.47
United Facility/Professional Professional Modifier Low / Median / High Price $394.29 / $564.51 / $972.85	Professional		$394.29	$564.51	$972.85