Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $66.48 / $66.48	Facility		$7.20	$66.48	$66.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $27.30 / $51.31	Professional		$9.88	$27.30	$51.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $141.19 / $300.00	Facility		$38.51	$141.19	$300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $22.37 / $29.76	Professional		$16.78	$22.37	$29.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $26.14 / $26.14	Professional		$26.14	$26.14	$26.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $10.84 / $23.68	Facility		$8.86	$10.84	$23.68
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $26.10 / $40.79	Professional		$14.44	$26.10	$40.79