Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.13 / $220.13 / $220.13	Facility		$220.13	$220.13	$220.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $244.32 / $269.10	Professional		$217.82	$244.32	$269.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.97 / $1,202.03 / $3,984.19	Facility		$497.97	$1,202.03	$3,984.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $223.93 / $1,500.00	Professional		$60.00	$223.93	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.80 / $278.26 / $347.15	Facility		$233.80	$278.26	$347.15