Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.92 / $107.76	Facility		$35.90	$35.92	$107.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $39.51	Professional		$35.92	$35.92	$39.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $206.18 / $336.99	Facility		$56.40	$206.18	$336.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $29.38 / $35.92	Professional		$22.04	$29.38	$35.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $50.76 / $58.55	Professional		$37.60	$50.76	$58.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.92	Facility		$35.90	$35.90	$35.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $43.10 / $49.93	Professional		$37.89	$43.10	$49.93
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $21.55	Professional		$15.08	$15.08	$21.55