Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $446.68	Facility		$398.11	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $158.49	Professional		$93.33	$107.15	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $288.40	Professional		$208.93	$208.93	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $398.11	Facility		$120.23	$173.78	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $194.98	Professional		$141.25	$147.91	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $81.28	Professional		$56.23	$56.23	$81.28