Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $19.91 / $19.91	Facility		$19.91	$19.91	$19.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $19.91 / $19.91	Professional		$17.75	$19.91	$19.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $74.62 / $123.50	Facility		$20.67	$74.62	$123.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $14.03 / $14.03	Professional		$14.03	$14.03	$14.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $11.80 / $11.80	Facility		$11.80	$11.80	$11.80
United Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $34.08 / $38.86	Professional		$34.08	$34.08	$38.86