Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $237.00 / $237.00	Facility		$118.50	$237.00	$237.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $94.80 / $94.80	Professional		$59.25	$94.80	$94.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $128.77 / $128.77	Professional		$122.45	$128.77	$128.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $99.54	Facility		$79.00	$79.00	$99.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $94.80 / $109.81	Professional		$83.35	$94.80	$109.81
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $33.18 / $47.40	Professional		$33.18	$33.18	$47.40