Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $933.25	Professional		$467.74	$794.33	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $91.20	Professional		$45.71	$61.66	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $1,122.02	Professional		$112.20	$112.20	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $1,202.26	Facility		$776.25	$912.01	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $630.96	Professional		$295.12	$295.12	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $758.58	Facility		$38.02	$75.86	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,584.89 / $2,398.83	Professional		$776.25	$1,584.89	$2,398.83