Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $37.15	Professional		$20.89	$34.67	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $302.00 / $501.19	Facility		$141.25	$302.00	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $38.02	Professional		$22.91	$30.90	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $57.54	Professional		$56.23	$56.23	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $35.48	Facility		$22.39	$22.39	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $25.70	Professional		$18.20	$25.70	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $39.81 / $46.77	Facility		$38.90	$39.81	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $69.18	Professional		$32.36	$50.12	$69.18