Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,140.00 / $2,280.00	Facility		$570.00	$1,140.00	$2,280.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $912.00 / $912.00	Professional		$570.00	$912.00	$912.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,178.00 / $1,238.80 / $1,238.80	Professional		$1,178.00	$1,238.80	$1,238.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $957.60	Facility		$760.00	$760.00	$957.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $801.80 / $912.00 / $1,056.40	Professional		$801.80	$912.00	$1,056.40
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $456.00	Professional		$319.20	$319.20	$456.00