Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $263.03 / $263.03	Facility		$117.49	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $93.33	Professional		$54.95	$63.10	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $169.82	Professional		$123.03	$123.03	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $234.42	Facility		$70.79	$102.33	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $114.82	Professional		$83.18	$87.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $47.86	Professional		$33.11	$33.11	$47.86