Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $27.73 / $27.73	Facility		$27.73	$27.73	$27.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $27.73 / $35.92	Professional		$27.73	$27.73	$35.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $199.00 / $324.26	Facility		$54.27	$199.00	$324.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $60.00 / $85.00	Professional		$36.84	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $23.57 / $23.57	Facility		$23.57	$23.57	$23.57