Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $23.99	Professional		$19.95	$20.89	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $61.66 / $102.33	Facility		$28.18	$61.66	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $60.26 / $70.79	Professional		$11.48	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $21.88 / $54.95	Facility		$20.42	$21.88	$54.95