Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $98.04 / $114.01	Facility		$51.31	$98.04	$114.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $294.52 / $481.38	Facility		$80.56	$294.52	$481.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $41.97 / $51.31	Professional		$31.48	$41.97	$51.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $72.50 / $83.64	Professional		$53.71	$72.50	$83.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Facility		$51.31	$51.31	$51.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $61.57 / $71.31	Professional		$54.13	$61.57	$71.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $21.55 / $30.79	Professional		$21.55	$21.55	$30.79