Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $402.39 / $402.39	Facility		$100.60	$402.39	$402.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $100.60 / $100.60	Professional		$100.60	$100.60	$100.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $218.63 / $218.63	Professional		$207.90	$218.63	$218.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $134.13 / $169.00	Facility		$134.13	$134.13	$169.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $160.96 / $186.44	Professional		$141.51	$160.96	$186.44
United Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $120.72 / $201.20	Facility		$80.48	$120.72	$201.20
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $80.48	Professional		$56.33	$56.33	$80.48