Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $184.38 / $184.38	Facility		$184.38	$184.38	$184.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $184.38 / $221.34	Professional		$184.38	$184.38	$221.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.28 / $235.68 / $384.04	Facility		$64.28	$235.68	$384.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.63 / $60.00 / $85.00	Professional		$43.63	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Facility		$156.72	$156.72	$156.72