Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.96 / $107.96 / $107.96	Facility		$107.96	$107.96	$107.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $119.78 / $127.57	Professional		$106.83	$119.78	$127.57
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 $85.00 / $138.11 / $1,500.00	Professional		$85.00	$138.11	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.31 / $131.34 / $161.77	Facility		$129.31	$131.34	$161.77