Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $45.76 / $45.76	Facility		$45.76	$45.76	$45.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $45.76 / $216.80	Professional		$45.76	$45.76	$216.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.03 / $352.12 / $573.78	Facility		$96.03	$352.12	$573.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $85.00	Professional		$45.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90