Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Facility		$104.22	$104.22	$104.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $104.22 / $212.83	Professional		$104.22	$104.22	$212.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $328.91 / $535.96	Facility		$89.70	$328.91	$535.96
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 $88.59 / $88.59 / $88.59	Facility		$88.59	$88.59	$88.59