Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $21.08 / $21.08	Professional		$21.08	$21.08	$21.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $79.42 / $120.86	Facility		$15.75	$79.42	$120.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $27.00 / $64.97	Professional		$15.75	$27.00	$64.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $15.75 / $100.00	Professional		$15.75	$15.75	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $25.63 / $25.63	Facility		$25.63	$25.63	$25.63
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $8.93 / $27.00	Professional		$7.83	$8.93	$27.00