Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $177.83	Professional		$91.20	$102.33	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,318.26 / $4,466.84	Facility		$575.44	$1,318.26	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $151.36	Professional		$112.20	$112.20	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $128.82	Professional		$60.26	$85.11	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $128.82 / $269.15	Facility		$91.20	$128.82	$269.15