Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $238.61 / $238.61	Professional		$223.87	$238.61	$238.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.99 / $1,966.64 / $2,992.59	Facility		$389.99	$1,966.64	$2,992.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.99 / $389.99 / $389.99	Professional		$389.99	$389.99	$389.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $389.99 / $389.99	Professional		$100.00	$389.99	$389.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $627.00 / $627.00	Facility		$627.00	$627.00	$627.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $330.15 / $512.02	Professional		$207.52	$330.15	$512.02