Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $31.76 / $31.76	Facility		$31.76	$31.76	$31.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $31.76 / $104.66	Professional		$30.49	$31.76	$104.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $28.97 / $34.52	Professional		$21.73	$28.97	$34.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $36.27	Professional		$36.27	$36.27	$36.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $22.68 / $33.67	Facility		$17.64	$22.68	$33.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $14.41 / $14.41	Professional		$14.41	$14.41	$14.41
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.59 / $49.09	Professional		$30.00	$41.59	$49.09