Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $19.05	Professional		$10.00	$16.98	$19.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $19.50	Professional		$10.96	$14.79	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.20 / $22.39	Facility		$13.80	$18.20	$22.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $16.98	Professional		$10.96	$16.98	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $41.69	Professional		$16.98	$28.18	$41.69