Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $4,365.16 / $6,606.93	Facility		$123.03	$4,365.16	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $123.03	Professional		$114.82	$120.23	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $75.86	Professional		$30.20	$60.26	$75.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $64.57 / $89.13	Facility		$48.98	$64.57	$89.13