Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $33.88	Professional		$19.95	$23.99	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,230.27 / $1,995.26	Facility		$724.44	$1,230.27	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $37.15 / $70.79	Professional		$21.38	$37.15	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.51 / $48.98	Facility		$20.89	$29.51	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26