Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $27.54 / $63.10	Facility		$17.78	$27.54	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $31.62 / $60.26	Professional		$9.77	$31.62	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $141.25 / $229.09	Facility		$64.57	$141.25	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $29.51	Professional		$16.98	$22.39	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.96 / $23.44	Facility		$8.91	$10.96	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $204.17 / $204.17	Facility		$91.20	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $27.54 / $40.74	Professional		$14.45	$27.54	$40.74