Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.24 / $247.54 / $247.54	Professional		$232.24	$247.54	$247.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $623.99 / $3,146.66 / $4,788.18	Facility		$623.99	$3,146.66	$4,788.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.99 / $623.99 / $623.99	Professional		$623.99	$623.99	$623.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $623.99 / $623.99	Professional		$100.00	$623.99	$623.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $934.56 / $934.56 / $934.56	Facility		$934.56	$934.56	$934.56
United Facility/Professional Professional Modifier Low / Median / High Price $332.03 / $534.73 / $819.23	Professional		$332.03	$534.73	$819.23